Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $115.80 / $133.90	Facility		$57.90	$115.80	$133.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $57.90 / $61.52	Professional		$57.90	$57.90	$61.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $180.57 / $940.55	Facility		$102.40	$180.57	$940.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Facility		$61.52	$61.52	$61.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $72.38	Professional		$61.52	$61.52	$72.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $112.60 / $143.19	Professional		$82.40	$112.60	$143.19
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 $54.99 / $67.82 / $2,500.00	Professional		$54.99	$67.82	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $65.14	Professional		$60.32	$60.32	$65.14