Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $180.15 / $264.89	Facility		$101.49	$180.15	$264.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $102.94 / $123.00	Professional		$101.49	$102.94	$123.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.65 / $534.26 / $2,647.54	Facility		$349.65	$534.26	$2,647.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Facility		$102.94	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $144.12 / $341.38	Professional		$102.94	$144.12	$341.38
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $133.82 / $133.82	Professional		$133.82	$133.82	$133.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $113.07 / $116.21	Professional		$113.07	$113.07	$116.21
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $231.62	Facility		$102.93	$102.93	$231.62
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $163.19	Professional		$102.94	$102.94	$163.19