Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $193.60 / $254.10	Facility		$73.45	$193.60	$254.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $205.70	Professional		$193.60	$193.60	$205.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $76.03 / $94.62	Professional		$76.03	$76.03	$94.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$345.40
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $228.87	Professional		$220.00	$220.00	$228.87