Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.54 / $191.92 / $297.48	Facility		$178.54	$191.92	$297.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $239.90	Professional		$191.91	$191.92	$239.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $188.08 / $188.08	Professional		$188.08	$188.08	$188.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $226.16 / $345.40	Professional		$175.44	$226.16	$345.40
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 $249.50 / $249.50 / $249.50	Professional		$249.50	$249.50	$249.50
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 Professional Modifier Low / Median / High Price $168.35 / $198.65 / $210.41	Professional		$168.35	$198.65	$210.41