Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $195.18 / $240.00	Facility		$156.13	$195.18	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $195.18 / $281.06	Professional		$110.00	$195.18	$281.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.42 / $245.08 / $316.17	Facility		$205.42	$245.08	$316.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.05 / $209.88 / $370.23	Facility		$129.05	$209.88	$370.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $120.13 / $148.68	Professional		$118.94	$120.13	$148.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $856.63 / $1,174.51	Professional		$200.00	$856.63	$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