Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $105.34 / $193.25	Facility		$42.24	$105.34	$193.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $42.24 / $50.16	Professional		$42.24	$42.24	$50.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.47 / $419.23 / $776.16	Facility		$197.47	$419.23	$776.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $52.80	Professional		$52.80	$52.80	$52.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Facility		$44.88	$44.88	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $87.32 / $141.69	Professional		$56.60	$87.32	$141.69
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $75.67 / $75.67	Professional		$75.67	$75.67	$75.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $56.18	Professional		$50.16	$50.16	$56.18