Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $181.97	Facility		$117.49	$125.89	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $389.05	Professional		$114.82	$354.81	$389.05
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 $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $741.31 / $933.25	Professional		$181.97	$741.31	$933.25
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 $309.03 / $309.03 / $478.63	Facility		$309.03	$309.03	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $436.52 / $478.63	Professional		$125.89	$436.52	$478.63