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 $112.20 / $147.91 / $239.88	Facility		$112.20	$147.91	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $245.47 / $467.74	Facility		$109.65	$245.47	$467.74
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 $91.20 / $91.20 / $275.42	Facility		$91.20	$91.20	$275.42