Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $120.00 / $201.00	Facility		$60.00	$120.00	$201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $74.70	Professional		$60.00	$60.00	$74.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.12 / $292.79 / $2,034.11	Facility		$126.12	$292.79	$2,034.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $532.00 / $615.00	Professional		$180.62	$532.00	$615.00
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 $46.57 / $46.57 / $47.88	Professional		$46.57	$46.57	$47.88
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $83.56	Professional		$62.50	$62.50	$83.56