Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $70.73 / $105.18	Facility		$47.15	$70.73	$105.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $47.15 / $50.10	Professional		$47.15	$47.15	$50.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.29 / $288.52 / $850.58	Facility		$121.29	$288.52	$850.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $58.94	Professional		$52.07	$52.07	$58.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $138.62 / $179.00	Professional		$103.00	$138.62	$179.00
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 $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 $58.94 / $62.33 / $67.25	Professional		$58.94	$62.33	$67.25