Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $269.15 / $331.13	Facility		$128.82	$269.15	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $281.84	Professional		$128.82	$131.83	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $1,949.84	Facility		$263.03	$467.74	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.74 / $346.74	Professional		$0.54	$0.74	$346.74
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 $331.13 / $489.78 / $501.19	Professional		$331.13	$489.78	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $346.74	Professional		$331.13	$331.13	$346.74