Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.58 / $603.44 / $999.92	Facility		$306.58	$603.44	$999.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $317.60 / $317.60	Professional		$158.21	$317.60	$317.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $263.89 / $338.52	Facility		$209.30	$263.89	$338.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.32 / $230.32 / $230.32	Facility		$230.32	$230.32	$230.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$345.40
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 $128.47 / $128.47 / $128.47	Professional		$128.47	$128.47	$128.47