Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $670.05 / $704.84	Facility		$412.43	$670.05	$704.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $412.43 / $429.48	Professional		$280.86	$412.43	$429.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.19 / $281.79 / $363.54	Facility		$236.19	$281.79	$363.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $168.32 / $210.21	Professional		$73.18	$168.32	$210.21
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