Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $1,398.88	Facility		$617.41	$617.41	$1,398.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.43 / $617.41 / $617.41	Professional		$334.43	$617.41	$617.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.11 / $1,066.71 / $1,376.15	Facility		$894.11	$1,066.71	$1,376.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $204.17 / $744.63	Professional		$173.99	$204.17	$744.63
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