Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.44 / $618.78 / $877.44	Facility		$605.44	$618.78	$877.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.44 / $618.78 / $933.57	Professional		$605.44	$618.78	$933.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.81 / $2,742.09 / $10,306.53	Facility		$999.81	$2,742.09	$10,306.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.24 / $608.24 / $745.96	Professional		$608.24	$608.24	$745.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $401.16 / $580.97 / $1,485.71	Professional		$401.16	$580.97	$1,485.71
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 $413.19 / $479.27 / $535.42	Professional		$413.19	$479.27	$535.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $605.45	Professional		$32.34	$32.34	$605.45
United Facility/Professional Professional Modifier Low / Median / High Price $394.46 / $552.54 / $924.22	Professional		$394.46	$552.54	$924.22