Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $831.76	Facility		$758.58	$758.58	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,023.29	Professional		$512.86	$776.25	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $91.20	Professional		$72.44	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$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 $112.20 / $123.03 / $131.83	Professional		$112.20	$123.03	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $2,454.71	Facility		$67.61	$100.00	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $363.08	Professional		$51.29	$104.71	$363.08