Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $279.81 / $499.92	Facility		$149.22	$279.81	$499.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $185.80	Professional		$149.22	$149.22	$185.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $163.34 / $1,630.78	Facility		$78.76	$163.34	$1,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,405.50 / $1,624.78	Professional		$100.00	$1,405.50	$1,624.78
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 $60.90 / $140.11 / $143.99	Professional		$60.90	$140.11	$143.99
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $164.93	Professional		$155.44	$155.44	$164.93