Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $64.41 / $483.00	Facility		$52.42	$64.41	$483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $56.01 / $229.08	Professional		$48.24	$56.01	$229.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.60 / $194.48 / $798.32	Facility		$113.60	$194.48	$798.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Professional		$73.00	$73.00	$73.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Facility		$57.66	$57.66	$57.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $76.15	Professional		$57.66	$57.66	$76.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $8.15 / $125.00	Professional		$5.82	$8.15	$125.00
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $291.89 / $307.25	Professional		$276.00	$291.89	$307.25