Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $252.90 / $451.85	Facility		$134.88	$252.90	$451.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $167.93	Professional		$134.88	$134.88	$167.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.55 / $807.23 / $2,433.03	Facility		$345.55	$807.23	$2,433.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $180.24 / $345.40	Professional		$100.00	$180.24	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $149.07	Professional		$140.50	$140.50	$149.07