Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $126.15 / $126.15	Facility		$126.15	$126.15	$126.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $128.50 / $300.97	Professional		$119.94	$128.50	$300.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.40 / $911.64 / $1,918.95	Facility		$663.40	$911.64	$1,918.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.63 / $410.22 / $482.61	Professional		$347.63	$410.22	$482.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $703.80 / $876.81 / $1,026.40	Professional		$703.80	$876.81	$1,026.40
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 $128.71 / $162.46 / $376.59	Professional		$128.71	$162.46	$376.59