Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $1,761.60	Facility		$915.68	$915.68	$1,761.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $915.68	Professional		$872.08	$915.68	$915.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.58 / $1,107.75 / $7,291.30	Facility		$618.58	$1,107.75	$7,291.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $994.15 / $1,255.53	Professional		$345.40	$994.15	$1,255.53
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $907.22	Professional		$872.08	$872.08	$907.22