Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $691.83 / $1,071.52	Facility		$380.19	$691.83	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $407.38	Professional		$263.03	$295.12	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $354.81 / $467.74	Facility		$316.23	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$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 $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $691.83	Facility		$204.17	$204.17	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53