Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $602.56 / $645.65	Facility		$95.50	$602.56	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $295.12	Professional		$83.18	$125.89	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,754.23 / $5,011.87	Facility		$1,148.15	$2,754.23	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $616.60	Professional		$120.23	$346.74	$616.60
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Facility		$251.19	$251.19	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Professional		$257.04	$257.04	$316.23