Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $85.03	Facility		$85.03	$85.03	$85.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $197.44	Professional		$85.03	$85.03	$197.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $104.21 / $134.44	Facility		$87.35	$104.21	$134.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $631.91 / $741.02	Professional		$75.23	$631.91	$741.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $44.64 / $44.64	Professional		$44.64	$44.64	$44.64