Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.87 / $299.83 / $8,230.00	Facility		$239.87	$299.83	$8,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $299.83 / $381.65	Professional		$299.83	$299.83	$381.65
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 $50.34 / $94.87 / $178.85	Facility		$50.34	$94.87	$178.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $110.54 / $136.81	Professional		$109.45	$110.54	$136.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $832.14 / $1,174.51	Professional		$200.00	$832.14	$1,174.51
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
United Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00