Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.16 / $394.29 / $8,230.00	Facility		$202.16	$394.29	$8,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $324.89 / $488.92	Professional		$315.43	$324.89	$488.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $76.41 / $98.58	Facility		$64.05	$76.41	$98.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $83.56 / $120.60	Facility		$42.29	$83.56	$120.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.50 / $3.10	Professional		$2.48	$2.50	$3.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $663.89 / $976.30	Professional		$200.00	$663.89	$976.30
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00