Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $129.62 / $129.62	Facility		$20.05	$129.62	$129.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $153.91	Professional		$129.62	$129.62	$153.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $605.95 / $1,185.98 / $2,321.73	Facility		$605.95	$1,185.98	$2,321.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $136.72 / $165.03	Professional		$103.65	$136.72	$165.03
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 $153.91 / $153.91 / $168.75	Professional		$153.91	$153.91	$168.75