Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $127.09 / $203.34	Facility		$72.62	$127.09	$203.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $67.23 / $81.55	Professional		$52.59	$67.23	$81.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $245.08 / $1,710.83	Facility		$121.60	$245.08	$1,710.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $185.00 / $319.70	Facility		$5.35	$185.00	$319.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $71.63 / $132.63	Professional		$29.36	$71.63	$132.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $120.00 / $251.89	Professional		$86.04	$120.00	$251.89
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $102.13 / $109.99	Professional		$100.63	$102.13	$109.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $39.85 / $78.95	Professional		$32.69	$39.85	$78.95