Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $111.23 / $172.80	Facility		$78.98	$111.23	$172.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $83.93	Professional		$78.98	$78.98	$83.93
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 $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $88.87 / $161.84	Professional		$82.95	$88.87	$161.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $140.69 / $295.95	Professional		$103.18	$140.69	$295.95
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 $98.74 / $104.42 / $110.59	Professional		$98.74	$104.42	$110.59