Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $62.40 / $238.28	Facility		$19.50	$62.40	$238.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.75 / $219.18	Professional		$19.50	$31.75	$219.18
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 $27.17 / $38.47 / $239.89	Professional		$27.17	$38.47	$239.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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 Facility Modifier Low / Median / High Price $128.26 / $193.32 / $220.97	Facility		$128.26	$193.32	$220.97
United Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $223.68 / $349.15	Professional		$173.22	$223.68	$349.15