Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $189.21 / $856.42	Facility		$36.00	$189.21	$856.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $34.20	Professional		$28.80	$28.80	$34.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $285.83 / $529.20	Facility		$134.63	$285.83	$529.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $342.49 / $413.38	Professional		$200.00	$342.49	$413.38
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $32.89	Professional		$30.00	$30.00	$32.89