Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $152.00 / $199.50	Facility		$152.00	$152.00	$199.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $161.50	Professional		$152.00	$152.00	$161.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $503.93 / $2,497.23	Facility		$329.80	$503.93	$2,497.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $203.64 / $334.36	Professional		$159.69	$203.64	$334.36
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 / $96.90	Professional		$30.00	$40.00	$96.90
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $177.73	Professional		$167.51	$167.51	$177.73