Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.32 / $418.69 / $650.39	Facility		$297.32	$418.69	$650.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $297.32 / $327.05	Professional		$297.32	$297.32	$327.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $764.86 / $3,665.11	Facility		$299.20	$764.86	$3,665.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Facility		$321.72	$321.72	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $371.65	Professional		$321.72	$321.72	$371.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $100.00 / $238.32	Professional		$13.21	$100.00	$238.32
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 $309.70 / $328.29 / $351.94	Professional		$309.70	$328.29	$351.94