Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.14 / $1,279.01 / $2,285.17	Facility		$682.14	$1,279.01	$2,285.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $682.14 / $849.26	Professional		$682.14	$682.14	$849.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.06 / $662.27 / $5,674.18	Facility		$226.06	$662.27	$5,674.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $166.77 / $449.29	Professional		$102.60	$166.77	$449.29
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 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $753.90	Professional		$710.56	$710.56	$753.90