Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $222.44 / $372.59	Facility		$111.22	$222.44	$372.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $112.54 / $138.47	Professional		$111.22	$112.54	$138.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.87 / $306.20 / $1,795.48	Facility		$158.87	$306.20	$1,795.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $124.39	Professional		$117.24	$117.24	$124.39