Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $240.28 / $402.47	Facility		$120.14	$240.28	$402.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $120.14 / $127.65	Professional		$120.14	$120.14	$127.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.24 / $307.80 / $1,481.00	Facility		$111.24	$307.80	$1,481.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $141.13 / $185.94	Professional		$106.99	$141.13	$185.94
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 $125.15 / $125.15 / $135.16	Professional		$125.15	$125.15	$135.16