Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,412.54	Facility		$616.60	$616.60	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $741.31	Professional		$616.60	$616.60	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $954.99 / $1,148.15	Facility		$851.14	$954.99	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $660.69	Professional		$173.78	$204.17	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
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 $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,862.09	Facility		$616.60	$616.60	$1,862.09