Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $358.80 / $358.80	Facility		$99.75	$358.80	$358.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $381.23	Professional		$358.80	$358.80	$381.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $282.45 / $1,143.80	Facility		$100.80	$282.45	$1,143.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $178.07 / $339.22	Professional		$150.00	$178.07	$339.22
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 $231.49 / $231.49 / $231.49	Professional		$231.49	$231.49	$231.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $436.80	Professional		$390.00	$390.00	$436.80