Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $50.47 / $565.33	Facility		$50.47	$50.47	$565.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $50.47 / $78.77	Professional		$45.38	$50.47	$78.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,084.59 / $2,320.00 / $4,645.80	Facility		$1,084.59	$2,320.00	$4,645.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $290.00 / $290.00	Professional		$290.00	$290.00	$290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $75.05	Facility		$75.05	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $126.56	Professional		$54.79	$54.79	$126.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $187.20 / $200.25	Professional		$138.30	$187.20	$200.25
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $59.98 / $103.92	Professional		$48.18	$59.98	$103.92