Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.62 / $244.62 / $393.75	Facility		$244.62	$244.62	$393.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $230.92 / $267.33	Professional		$202.93	$230.92	$267.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $223.77 / $288.68	Facility		$187.56	$223.77	$288.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.73 / $327.33 / $431.61	Professional		$223.73	$327.33	$431.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.77 / $528.57 / $693.59	Professional		$442.77	$528.57	$693.59
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.89 / $277.43 / $442.70	Professional		$205.89	$277.43	$442.70