Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $275.42 / $275.42	Facility		$75.86	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $275.42	Professional		$213.80	$275.42	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $295.12	Facility		$218.78	$245.47	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $616.60	Facility		$213.80	$371.54	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $812.83 / $1,621.81	Professional		$199.53	$812.83	$1,621.81
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $323.59 / $457.09	Facility		$77.62	$323.59	$457.09