Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $240.00 / $402.00	Facility		$120.00	$240.00	$402.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $149.40	Professional		$120.00	$120.00	$149.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.42 / $369.18 / $2,164.67	Facility		$173.42	$369.18	$2,164.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $122.08 / $122.08 / $125.47	Professional		$122.08	$122.08	$125.47
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $135.00	Professional		$125.00	$125.00	$135.00