Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Facility		$175.28	$175.28	$175.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $175.28 / $175.28	Professional		$143.75	$175.28	$175.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.63 / $172.55 / $222.61	Facility		$144.63	$172.55	$222.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $148.66 / $178.12	Professional		$83.76	$148.66	$178.12
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