Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $64.26 / $206.85	Facility		$20.07	$64.26	$206.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $31.94 / $158.44	Professional		$20.07	$31.94	$158.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $125.93 / $162.46	Facility		$105.55	$125.93	$162.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $240.19 / $734.28	Facility		$110.47	$240.19	$734.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $27.98 / $27.98	Professional		$27.98	$27.98	$27.98
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 $134.16 / $195.94 / $315.75	Professional		$134.16	$195.94	$315.75