Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.68 / $599.99 / $1,029.74	Facility		$292.68	$599.99	$1,029.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.68 / $292.68 / $364.39	Professional		$292.68	$292.68	$364.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.39 / $2,487.78 / $5,169.46	Facility		$245.39	$2,487.78	$5,169.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $535.41	Professional		$100.00	$200.00	$535.41
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 $304.88 / $304.88 / $341.47	Professional		$304.88	$304.88	$341.47