Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $199.15 / $341.77	Facility		$97.14	$199.15	$341.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $97.14 / $120.95	Professional		$97.14	$97.14	$120.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.19 / $508.72 / $1,655.98	Facility		$235.19	$508.72	$1,655.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $120.00 / $345.40	Professional		$45.01	$120.00	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $107.36	Professional		$101.19	$101.19	$107.36