Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $96.75 / $126.99	Facility		$96.75	$96.75	$126.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $102.80	Professional		$96.75	$96.75	$102.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.97 / $388.07 / $1,923.09	Facility		$253.97	$388.07	$1,923.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
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 $100.78 / $100.78 / $108.92	Professional		$100.78	$100.78	$108.92