Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $248.71	Facility		$248.71	$248.71	$248.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $287.08	Professional		$248.71	$248.71	$287.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.80 / $896.93 / $1,157.10	Facility		$751.80	$896.93	$1,157.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.08 / $404.08 / $404.08	Facility		$404.08	$404.08	$404.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $288.31 / $338.68	Professional		$79.20	$288.31	$338.68
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