Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.04 / $428.04 / $428.04	Facility		$428.04	$428.04	$428.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.22 / $428.04 / $570.72	Professional		$273.22	$428.04	$570.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,636.10 / $5,638.72 / $11,291.53	Facility		$2,636.10	$5,638.72	$11,291.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $53.16 / $53.16	Professional		$33.65	$53.16	$53.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $414.37	Facility		$150.00	$150.00	$414.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $150.00 / $832.50	Professional		$60.41	$150.00	$832.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $111.12 / $345.40	Professional		$81.08	$111.12	$345.40
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 $70.56 / $79.73 / $741.01	Professional		$70.56	$79.73	$741.01
United Facility/Professional Professional Modifier Low / Median / High Price $229.17 / $291.22 / $543.71	Professional		$229.17	$291.22	$543.71