Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $106.19	Professional		$58.28	$58.28	$106.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $186.28 / $240.33	Facility		$156.13	$186.28	$240.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $114.90 / $210.17	Professional		$39.60	$114.90	$210.17
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