Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $902.00 / $2,071.00	Facility		$116.53	$902.00	$2,071.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $113.21 / $135.38	Professional		$81.88	$113.21	$135.38
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 $78.52 / $111.36 / $370.00	Facility		$78.52	$111.36	$370.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $148.61 / $215.00	Professional		$90.41	$148.61	$215.00
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 $32.34 / $2,500.00 / $2,500.00	Professional		$32.34	$2,500.00	$2,500.00