Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.91 / $478.91 / $628.57	Facility		$478.91	$478.91	$628.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $478.91 / $508.84	Professional		$478.91	$478.91	$508.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $747.93 / $1,156.79 / $6,174.00	Facility		$747.93	$1,156.79	$6,174.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Facility		$508.84	$508.84	$508.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $538.78	Professional		$498.87	$498.87	$538.78