Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $162.00 / $162.00	Facility		$112.01	$162.00	$162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $76.83 / $92.20	Professional		$74.06	$76.83	$92.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.24 / $518.40 / $1,649.28	Facility		$234.24	$518.40	$1,649.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $220.78	Facility		$85.00	$85.00	$220.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $89.84 / $122.92	Professional		$81.77	$89.84	$122.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $185.23 / $239.18	Professional		$137.63	$185.23	$239.18
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $96.01	Professional		$92.57	$92.57	$96.01