Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $181.97	Facility		$138.04	$138.04	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $147.91	Professional		$138.04	$144.54	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $478.63 / $2,754.23	Facility		$70.79	$478.63	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
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 $100.00 / $158.49 / $346.74	Professional		$100.00	$158.49	$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 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $288.40 / $288.40	Facility		$144.54	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91