Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $111.23 / $382.05	Facility		$56.75	$111.23	$382.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $83.86 / $105.35	Professional		$56.75	$83.86	$105.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $184.35 / $237.83	Facility		$154.52	$184.35	$237.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.26 / $184.88 / $353.73	Facility		$166.26	$184.88	$353.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $117.93 / $117.93	Professional		$117.93	$117.93	$117.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$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 $87.11 / $119.10 / $197.69	Professional		$87.11	$119.10	$197.69