Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $71.45	Facility		$71.45	$71.45	$71.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $86.13 / $114.78	Professional		$45.38	$86.13	$114.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $182.94	Professional		$76.70	$76.70	$182.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $218.40 / $276.80	Professional		$123.60	$218.40	$276.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $731.70 / $1,500.00 / $2,500.00	Professional		$731.70	$1,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $100.65 / $183.55	Professional		$81.33	$100.65	$183.55