Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $360.00 / $555.00	Facility		$240.00	$360.00	$555.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $255.00	Professional		$240.00	$240.00	$255.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.08 / $472.57 / $2,819.88	Facility		$189.08	$472.57	$2,819.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $255.00 / $255.00	Professional		$223.50	$255.00	$255.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $200.00 / $334.75	Professional		$86.29	$200.00	$334.75
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 $210.71 / $216.56 / $262.50	Professional		$210.71	$216.56	$262.50
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $270.00	Professional		$250.00	$250.00	$270.00