Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Facility		$320.39	$320.39	$320.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $320.39 / $360.96	Professional		$253.18	$320.39	$360.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.03 / $236.26 / $304.79	Facility		$198.03	$236.26	$304.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.20 / $247.20 / $247.20	Facility		$247.20	$247.20	$247.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $44.44 / $858.00	Professional		$37.92	$44.44	$858.00
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