Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $110.32 / $183.87	Facility		$84.06	$110.32	$183.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $84.06 / $89.31	Professional		$84.06	$84.06	$89.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.07 / $323.20 / $1,541.36	Facility		$212.07	$323.20	$1,541.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Facility		$89.31	$89.31	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $180.23 / $229.22	Professional		$131.88	$180.23	$229.22
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 $79.84 / $83.84 / $2,500.00	Professional		$79.84	$83.84	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $92.81 / $103.32	Professional		$87.56	$92.81	$103.32