Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $286.01 / $473.15	Facility		$141.24	$286.01	$473.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $141.24 / $150.07	Professional		$141.24	$141.24	$150.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.60 / $532.89 / $2,242.34	Facility		$305.60	$532.89	$2,242.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.22 / $404.22 / $404.22	Facility		$404.22	$404.22	$404.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $192.74 / $345.40	Professional		$120.00	$192.74	$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 $179.80 / $179.80 / $179.80	Professional		$179.80	$179.80	$179.80
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $149.97	Professional		$136.80	$136.80	$149.97