Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $212.48 / $442.33	Facility		$131.16	$212.48	$442.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $131.16 / $1,556.00	Professional		$131.15	$131.16	$1,556.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.65 / $541.90 / $2,685.40	Facility		$354.65	$541.90	$2,685.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Facility		$131.16	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $366.33 / $814.07	Professional		$131.16	$366.33	$814.07
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 $170.51 / $170.51 / $170.51	Professional		$170.51	$170.51	$170.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $139.16 / $175.35	Professional		$131.16	$139.16	$175.35