Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $521.48 / $873.48	Facility		$260.74	$521.48	$873.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $260.74 / $324.61	Professional		$260.74	$260.74	$324.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.51 / $756.08 / $4,433.29	Facility		$355.51	$756.08	$4,433.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.78 / $239.14 / $288.64	Professional		$175.78	$239.14	$288.64
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 $271.60 / $271.60 / $288.17	Professional		$271.60	$271.60	$288.17