Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $579.07 / $760.03	Facility		$579.07	$579.07	$760.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $579.07 / $615.26	Professional		$579.07	$579.07	$615.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,520.07 / $2,322.67 / $11,510.00	Facility		$1,520.07	$2,322.67	$11,510.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $767.99	Professional		$723.84	$723.84	$767.99