Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $960.50	Facility		$540.96	$540.96	$960.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $876.05	Professional		$540.96	$540.96	$876.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.16 / $665.92 / $859.10	Facility		$558.16	$665.92	$859.10
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 $140.00 / $163.33 / $920.40	Professional		$140.00	$163.33	$920.40
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