Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,128.61	Facility		$2,511.89	$2,511.89	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $223.87	Professional		$69.18	$109.65	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $194.98	Professional		$81.28	$128.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $208.93	Professional		$79.43	$123.03	$208.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $389.05	Professional		$100.00	$186.21	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,801.89	Facility		$3,467.37	$3,467.37	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $223.87	Professional		$79.43	$131.83	$223.87