Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.74 / $746.74 / $980.10	Facility		$746.74	$746.74	$980.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.74 / $746.74 / $793.42	Professional		$746.74	$746.74	$793.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.84 / $748.87 / $946.79	Facility		$625.84	$748.87	$946.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $777.86 / $777.86 / $989.98	Professional		$777.86	$777.86	$989.98