Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $641.45	Facility		$131.35	$131.35	$641.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $131.35 / $575.67	Professional		$96.31	$131.35	$575.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $286.17 / $369.18	Facility		$239.86	$286.17	$369.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Facility		$183.96	$183.96	$183.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $264.35 / $345.40	Professional		$100.00	$264.35	$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
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 $215.05 / $215.05 / $232.49	Professional		$215.05	$215.05	$232.49