Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $130.19 / $130.19	Facility		$130.19	$130.19	$130.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.71 / $574.70 / $741.41	Facility		$481.71	$574.70	$741.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.41 / $1,107.93 / $3,351.01	Facility		$501.41	$1,107.93	$3,351.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $32.34 / $1,500.00 / $2,500.00	Professional		$32.34	$1,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $335.10 / $335.10 / $337.59	Facility		$335.10	$335.10	$337.59