Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.98 / $1,396.64 / $3,021.98	Facility		$703.98	$1,396.64	$3,021.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $967.29	Professional		$690.18	$690.18	$967.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $979.70 / $1,256.72	Facility		$777.00	$979.70	$1,256.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
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 $437.68 / $437.68 / $437.68	Professional		$437.68	$437.68	$437.68