Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $398.11 / $524.81	Facility		$117.49	$398.11	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $426.58	Professional		$398.11	$407.38	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Facility		$165.96	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $346.74	Professional		$120.23	$169.82	$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 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $831.76	Facility		$501.19	$831.76	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $446.68 / $501.19	Professional		$125.89	$446.68	$501.19