Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $139.19 / $182.70	Facility		$139.19	$139.19	$182.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $147.90	Professional		$139.19	$139.19	$147.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.02 / $675.47 / $4,057.57	Facility		$117.02	$675.47	$4,057.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $190.00 / $345.40	Professional		$48.99	$190.00	$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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $156.60	Professional		$145.00	$145.00	$156.60