Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $151.88 / $251.25	Facility		$75.00	$151.88	$251.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $79.69	Professional		$75.00	$75.00	$79.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $281.79 / $1,185.74	Facility		$161.60	$281.79	$1,185.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $145.16 / $345.40	Professional		$100.00	$145.16	$345.40
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 $90.69 / $90.69 / $96.22	Professional		$90.69	$90.69	$96.22