Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $1,751.40	Facility		$109.44	$109.44	$1,751.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $126.95	Professional		$109.44	$109.44	$126.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $233.75 / $233.75	Professional		$233.75	$233.75	$233.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $212.48	Professional		$109.44	$109.44	$212.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $153.22 / $493.92	Professional		$98.50	$153.22	$493.92
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 $142.27 / $142.27 / $142.27	Professional		$142.27	$142.27	$142.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $303.52	Professional		$30.00	$40.00	$303.52
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $118.20	Professional		$109.44	$109.44	$118.20