Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.00 / $1,155.25 / $1,929.24	Facility		$792.00	$1,155.25	$1,929.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.78 / $798.38 / $798.38	Professional		$377.78	$798.38	$798.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.16 / $706.29 / $906.00	Facility		$560.16	$706.29	$906.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.54 / $478.54 / $478.54	Facility		$478.54	$478.54	$478.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
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