Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $344.43 / $569.79	Facility		$170.09	$344.43	$569.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $180.72	Professional		$170.09	$170.09	$180.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.00 / $641.70 / $2,700.20	Facility		$368.00	$641.70	$2,700.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.81 / $486.81 / $486.81	Facility		$486.81	$486.81	$486.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $116.50 / $288.56	Professional		$83.20	$116.50	$288.56
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 $180.30 / $180.30 / $191.35	Professional		$180.30	$180.30	$191.35