Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $15.90 / $54.68	Facility		$10.58	$15.90	$54.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $22.00	Professional		$10.58	$20.00	$22.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $1,549.45 / $4,002.94	Facility		$244.72	$1,549.45	$4,002.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Professional		$233.00	$233.00	$233.00
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 $204.44 / $206.48 / $255.55	Professional		$204.44	$206.48	$255.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $904.31 / $1,279.28	Professional		$200.00	$904.31	$1,279.28
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 $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00