Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $108.28 / $181.37	Facility		$54.14	$108.28	$181.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $54.14 / $67.40	Professional		$54.14	$54.14	$67.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.12 / $217.16 / $1,076.17	Facility		$142.12	$217.16	$1,076.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $151.79 / $199.97	Professional		$115.07	$151.79	$199.97
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 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $60.91	Professional		$56.40	$56.40	$60.91