Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $124.57 / $124.57	Facility		$124.57	$124.57	$124.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $124.57 / $194.41	Professional		$112.02	$124.57	$194.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,835.00 / $6,685.00	Facility		$800.00	$1,835.00	$6,685.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $210.68 / $401.63	Professional		$153.80	$210.68	$401.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $367.12 / $392.12	Professional		$262.10	$367.12	$392.12
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 $120.12 / $154.44 / $180.19	Professional		$120.12	$154.44	$180.19
United Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $147.90 / $256.17	Professional		$119.38	$147.90	$256.17