Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $460.48 / $1,711.42	Facility		$460.48	$460.48	$1,711.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $460.48 / $489.26	Professional		$460.48	$460.48	$489.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.53 / $1,595.55 / $7,687.65	Facility		$724.53	$1,595.55	$7,687.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.43 / $508.43 / $508.43	Facility		$508.43	$508.43	$508.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $575.60	Professional		$508.43	$508.43	$575.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $767.57	Professional		$100.00	$345.40	$767.57
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $608.72 / $656.78	Professional		$575.60	$608.72	$656.78