Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.49 / $249.49 / $296.48	Facility		$249.49	$249.49	$296.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $254.47 / $575.28	Professional		$182.93	$254.47	$575.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,531.23 / $5,373.79 / $9,948.95	Facility		$2,531.23	$5,373.79	$9,948.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Facility		$358.29	$358.29	$358.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $990.48	Professional		$100.00	$200.00	$990.48
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 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $676.80 / $769.07	Professional		$676.80	$676.80	$769.07