Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.04 / $308.04 / $308.04	Facility		$308.04	$308.04	$308.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $308.04 / $461.50	Professional		$200.30	$308.04	$461.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,897.07 / $4,057.92 / $8,125.98	Facility		$1,897.07	$4,057.92	$8,125.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.81 / $338.00 / $338.00	Facility		$301.81	$338.00	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $338.00 / $618.75	Professional		$46.37	$338.00	$618.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $100.00 / $345.40	Professional		$51.23	$100.00	$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 $60.36 / $60.36 / $80.48	Professional		$60.36	$60.36	$80.48
United Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $216.99 / $392.79	Professional		$166.92	$216.99	$392.79