Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.62 / $145.62 / $145.62	Facility		$145.62	$145.62	$145.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $145.62 / $236.01	Professional		$138.44	$145.62	$236.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.43 / $1,423.92 / $5,199.99	Facility		$758.43	$1,423.92	$5,199.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.95 / $382.95 / $382.95	Professional		$382.95	$382.95	$382.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $607.88	Professional		$347.71	$409.07	$607.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.70 / $590.95 / $714.97	Professional		$471.70	$590.95	$714.97
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 Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $230.98 / $433.08	Professional		$148.58	$230.98	$433.08