Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $676.08	Professional		$446.68	$549.54	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,754.23	Facility		$1,584.89	$1,584.89	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,071.52	Professional		$489.78	$676.08	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $954.99 / $1,288.25	Professional		$457.09	$954.99	$1,288.25
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $549.54	Professional		$512.86	$512.86	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $2,511.89	Professional		$245.47	$251.19	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $794.33	Professional		$354.81	$512.86	$794.33