Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.99 / $327.29 / $440.00	Facility		$53.99	$327.29	$440.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $49.53 / $64.14	Professional		$42.38	$49.53	$64.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.07 / $194.54 / $250.98	Facility		$163.07	$194.54	$250.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $68.23	Facility		$68.23	$68.23	$68.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $73.54	Professional		$50.31	$50.31	$73.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $190.43 / $345.40	Professional		$95.39	$190.43	$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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $73.41 / $131.86	Professional		$54.90	$73.41	$131.86