Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $174.08 / $456.61	Facility		$174.08	$174.08	$456.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $276.77 / $355.12	Professional		$174.08	$276.77	$355.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.25 / $1,387.14 / $1,753.75	Facility		$1,159.25	$1,387.14	$1,753.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.73 / $165.18 / $1,443.80	Facility		$100.73	$165.18	$1,443.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.88 / $345.88 / $345.88	Professional		$345.88	$345.88	$345.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$345.40
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $393.36 / $606.02	Professional		$304.39	$393.36	$606.02