Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $218.76 / $273.45	Facility		$73.20	$218.76	$273.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.72 / $273.45 / $281.64	Professional		$224.72	$273.45	$281.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.42 / $245.08 / $316.17	Facility		$205.42	$245.08	$316.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.67 / $366.49 / $543.45	Facility		$210.67	$366.49	$543.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $812.03 / $1,298.92	Professional		$200.00	$812.03	$1,298.92
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $54.32 / $54.32	Facility		$54.32	$54.32	$54.32