Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $13,676.79	Facility		$80.06	$80.06	$13,676.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $90.65	Professional		$80.06	$80.06	$90.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.39 / $202.09 / $260.72	Facility		$169.39	$202.09	$260.72
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 $39.60 / $140.25 / $205.37	Professional		$39.60	$140.25	$205.37
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 Facility Modifier Low / Median / High Price $117.84 / $117.84 / $117.84	Facility		$117.84	$117.84	$117.84