Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $473.20	Facility		$67.20	$67.20	$473.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $79.80	Professional		$67.20	$67.20	$79.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $302.57 / $1,011.36	Facility		$108.80	$302.57	$1,011.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $76.50 / $210.06	Professional		$51.00	$76.50	$210.06
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $66.30 / $66.30	Professional		$66.30	$66.30	$66.30
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 $79.80 / $79.80 / $84.83	Professional		$79.80	$79.80	$84.83