Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $194.98 / $234.42	Facility		$173.78	$194.98	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $489.78	Facility		$131.83	$251.19	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
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 $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $363.08	Facility		$107.15	$107.15	$363.08