Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $630.53 / $711.27	Facility		$307.58	$630.53	$711.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $307.58 / $326.80	Professional		$307.58	$307.58	$326.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.86 / $3,052.69 / $5,913.14	Facility		$1,141.86	$3,052.69	$5,913.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $332.20	Professional		$326.80	$326.80	$332.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$345.40
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 $320.39 / $320.39 / $339.93	Professional		$320.39	$320.39	$339.93