Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $105.00	Facility		$80.00	$80.00	$105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $85.00	Professional		$80.00	$80.00	$85.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $320.88 / $1,590.12	Facility		$210.00	$320.88	$1,590.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
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 $160.91 / $160.91 / $170.74	Professional		$160.91	$160.91	$170.74