Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $165.43 / $46,335.82	Facility		$96.79	$165.43	$46,335.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $96.80 / $102.85	Professional		$96.80	$96.80	$102.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.00 / $533.46 / $1,746.17	Facility		$248.00	$533.46	$1,746.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $114.43	Professional		$110.00	$110.00	$114.43