Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $130.96 / $216.64	Facility		$64.67	$130.96	$216.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $64.67 / $68.70	Professional		$64.67	$64.67	$68.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $260.26 / $1,068.33	Facility		$153.60	$260.26	$1,068.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.81 / $192.81 / $192.81	Facility		$192.81	$192.81	$192.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $124.53 / $345.40	Professional		$77.33	$124.53	$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 $80.84 / $80.84 / $85.77	Professional		$80.84	$80.84	$85.77