Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.03 / $114.78 / $164.61	Facility		$77.03	$114.78	$164.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $77.03 / $101.05	Professional		$66.00	$77.03	$101.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.20 / $543.25 / $1,052.29	Facility		$203.20	$543.25	$1,052.29
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 $42.17 / $52.07 / $78.84	Professional		$42.17	$52.07	$78.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $120.00 / $345.40	Professional		$87.05	$120.00	$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 $18.48 / $19.95 / $2,500.00	Professional		$18.48	$19.95	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $57.74 / $97.90	Professional		$42.22	$57.74	$97.90