Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.81 / $644.16 / $1,905.00	Facility		$161.81	$644.16	$1,905.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $111.34 / $135.97	Professional		$73.48	$111.34	$135.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $214.31 / $214.31	Professional		$114.30	$214.31	$214.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $167.41	Professional		$58.29	$58.29	$167.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $170.02 / $510.14	Professional		$121.44	$170.02	$510.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $200.02 / $2,500.00	Professional		$194.30	$200.02	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $71.27 / $126.21	Professional		$47.52	$71.27	$126.21