Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $304.95 / $430.61	Facility		$156.75	$304.95	$430.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $128.54 / $141.08	Professional		$103.06	$128.54	$141.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $219.45 / $277.44	Facility		$183.39	$219.45	$277.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $374.96 / $722.20	Facility		$199.00	$374.96	$722.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $191.31 / $229.21	Professional		$188.10	$191.31	$229.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $219.45 / $345.40	Professional		$159.88	$219.45	$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 / $30.00 / $230.42	Professional		$30.00	$30.00	$230.42
United Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $156.75	Facility		$156.75	$156.75	$156.75
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $156.75	Professional		$65.84	$94.05	$156.75