Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $79.77 / $256.79	Professional		$48.68	$79.77	$256.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.48 / $2,458.92 / $2,458.92	Facility		$2,344.48	$2,458.92	$2,458.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.08 / $1,202.08 / $1,202.08	Facility		$1,202.08	$1,202.08	$1,202.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $104.68 / $104.68	Professional		$104.68	$104.68	$104.68
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 $84.45 / $112.32 / $180.95	Professional		$84.45	$112.32	$180.95