Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $186.21	Facility		$117.49	$141.25	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $151.36	Professional		$141.25	$144.54	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Facility		$165.96	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $346.74	Professional		$120.23	$169.82	$346.74
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 $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $147.91	Facility		$109.65	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $162.18	Professional		$125.89	$158.49	$162.18