Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.86 / $385.86 / $385.86	Facility		$385.86	$385.86	$385.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.59 / $300.85 / $423.51	Professional		$203.59	$300.85	$423.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $664.29 / $944.46 / $1,246.56	Facility		$664.29	$944.46	$1,246.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.65 / $487.65 / $487.65	Facility		$487.65	$487.65	$487.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $526.29	Professional		$359.63	$359.63	$526.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.25 / $208.49 / $260.94	Professional		$165.25	$208.49	$260.94
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 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $291.39 / $518.13	Professional		$188.82	$291.39	$518.13