Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $129.53 / $515.94	Facility		$80.59	$129.53	$515.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $80.61 / $91.98	Professional		$57.79	$80.61	$91.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $209.26 / $268.43	Facility		$165.96	$209.26	$268.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.95 / $179.95 / $179.95	Facility		$179.95	$179.95	$179.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
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