Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.39 / $326.39 / $525.66	Facility		$326.39	$326.39	$525.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $296.66 / $356.79	Professional		$112.50	$296.66	$356.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.07 / $758.87 / $979.00	Facility		$636.07	$758.87	$979.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $692.23 / $1,484.21	Facility		$353.38	$692.23	$1,484.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $437.04 / $576.25	Professional		$289.83	$437.04	$576.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $262.58 / $341.48	Professional		$221.53	$262.58	$341.48
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 $30.00 / $32.34 / $2,500.00	Professional		$30.00	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.62 / $354.25 / $567.22	Professional		$262.62	$354.25	$567.22