Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $141.01	Facility		$137.93	$137.93	$141.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $144.82	Professional		$137.93	$137.93	$144.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $145.00	Professional		$145.00	$145.00	$145.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $193.10 / $402.85	Professional		$123.10	$193.10	$402.85
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.31 / $179.31 / $179.31	Professional		$179.31	$179.31	$179.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $188.28	Professional		$30.00	$40.00	$188.28
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $151.22	Professional		$137.93	$137.93	$151.22