Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $143.04 / $239.59	Facility		$71.52	$143.04	$239.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $89.04	Professional		$71.52	$71.52	$89.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.75 / $286.88 / $1,421.64	Facility		$187.75	$286.88	$1,421.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $110.90 / $143.19	Professional		$82.40	$110.90	$143.19
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 $74.50 / $74.50 / $79.04	Professional		$74.50	$74.50	$79.04