Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.09 / $801.39 / $1,269.31	Facility		$569.09	$801.39	$1,269.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $569.09 / $604.66	Professional		$569.09	$569.09	$604.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.60 / $1,648.86 / $7,894.44	Facility		$913.60	$1,648.86	$7,894.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Facility		$628.37	$628.37	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $711.36	Professional		$628.37	$628.37	$711.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $838.86 / $1,682.05	Professional		$120.00	$838.86	$1,682.05
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $628.37 / $659.91	Professional		$592.79	$628.37	$659.91