Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $208.93	Facility		$125.89	$125.89	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $302.00	Professional		$117.49	$138.04	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $1,995.26	Facility		$660.69	$977.24	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $478.63	Professional		$354.81	$407.38	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,023.29	Professional		$707.95	$870.96	$1,023.29
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $380.19	Facility		$190.55	$234.42	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $380.19	Professional		$125.89	$199.53	$380.19