Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.56 / $268.56 / $268.56	Facility		$268.56	$268.56	$268.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $268.56 / $388.44	Professional		$217.15	$268.56	$388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $33.79 / $33.79	Professional		$33.29	$33.79	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $487.98	Professional		$270.64	$270.64	$487.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $100.00 / $345.40	Professional		$51.63	$100.00	$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 $33.97 / $50.95 / $129.10	Professional		$33.97	$50.95	$129.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $28.06 / $54.34	Professional		$18.02	$28.06	$54.34