Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.80 / $301.80 / $301.80	Facility		$301.80	$301.80	$301.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $301.80 / $419.31	Professional		$183.84	$301.80	$419.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,858.63 / $3,975.68 / $7,961.29	Facility		$1,858.63	$3,975.68	$7,961.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $38.21 / $38.21	Professional		$32.42	$38.21	$38.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $520.73 / $745.31	Professional		$40.57	$520.73	$745.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $100.00 / $200.00	Professional		$58.00	$100.00	$200.00
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 $47.42 / $57.32 / $497.87	Professional		$47.42	$57.32	$497.87
United Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $27.91 / $260.72	Professional		$25.54	$27.91	$260.72