Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $221.06 / $390.87	Facility		$123.16	$221.06	$390.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $123.16 / $221.06	Professional		$113.55	$123.16	$221.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.68 / $485.09 / $1,071.56	Facility		$268.68	$485.09	$1,071.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.94 / $164.71 / $493.18	Facility		$92.94	$164.71	$493.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $195.44 / $299.13	Professional		$120.67	$195.44	$299.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $221.49 / $678.26	Professional		$136.80	$221.49	$678.26
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $160.03 / $169.38	Professional		$158.68	$160.03	$169.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.00 / $177.19	Professional		$32.34	$75.00	$177.19
United Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $190.30 / $276.32	Professional		$139.31	$190.30	$276.32