Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $1,324.84	Facility		$171.15	$171.15	$1,324.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $361.77	Professional		$171.15	$171.15	$361.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $544.50 / $702.45	Facility		$456.40	$544.50	$702.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $445.60 / $533.88	Professional		$427.26	$445.60	$533.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $449.00 / $449.00	Professional		$120.00	$449.00	$449.00
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 $173.11 / $173.11 / $173.11	Professional		$173.11	$173.11	$173.11