Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $1,909.21	Facility		$308.72	$308.72	$1,909.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $569.27	Professional		$308.72	$308.72	$569.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.69 / $544.86 / $702.92	Facility		$456.69	$544.86	$702.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.52 / $515.52 / $515.52	Facility		$515.52	$515.52	$515.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $556.65 / $650.92	Professional		$39.60	$556.65	$650.92
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 $440.40 / $440.40 / $440.40	Professional		$440.40	$440.40	$440.40