Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $117.49 / $18,620.87	Facility		$107.15	$117.49	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $169.82	Professional		$97.72	$128.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Facility		$165.96	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $302.00	Professional		$147.91	$302.00	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $346.74	Professional		$120.23	$169.82	$346.74
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 $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $288.40 / $288.40	Facility		$173.78	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78