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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $575.44 / $691.83	Facility		$512.86	$575.44	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $1,412.54	Facility		$398.11	$724.44	$1,412.54
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 $338.84 / $338.84 / $1,071.52	Facility		$338.84	$338.84	$1,071.52