Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $37.54 / $124.91	Facility		$18.18	$37.54	$124.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $29.45 / $48.51	Professional		$18.18	$29.45	$48.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.47 / $152.08 / $196.20	Facility		$127.47	$152.08	$196.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $337.33 / $886.81	Facility		$133.66	$337.33	$886.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $25.42 / $25.42	Professional		$25.42	$25.42	$25.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
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 $42.72 / $52.45 / $83.12	Professional		$42.72	$52.45	$83.12