Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $123.80 / $283.50	Facility		$118.30	$123.80	$283.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $135.43	Professional		$123.80	$123.80	$135.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.45 / $902.20 / $4,470.88	Facility		$590.45	$902.20	$4,470.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $163.51	Professional		$123.80	$123.80	$163.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $173.32 / $575.50	Professional		$108.38	$173.32	$575.50
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $188.79	Professional		$30.00	$40.00	$188.79
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $139.88	Professional		$123.80	$123.80	$139.88