Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $522.84 / $609.98	Facility		$96.66	$522.84	$609.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $96.66 / $296.27	Professional		$70.87	$96.66	$296.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.60 / $2,767.56 / $5,123.83	Facility		$1,303.60	$2,767.56	$5,123.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $743.46	Professional		$100.00	$345.40	$743.46
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 $259.31 / $259.31 / $313.70	Professional		$259.31	$259.31	$313.70