Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $731.14 / $959.63	Facility		$731.14	$731.14	$959.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $731.14 / $776.84	Professional		$731.14	$731.14	$776.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.43 / $521.03 / $658.74	Facility		$435.43	$521.03	$658.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
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 $761.61 / $761.61 / $853.00	Professional		$761.61	$761.61	$853.00