Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $493.65 / $858.95	Facility		$329.05	$493.65	$858.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $398.87	Professional		$329.05	$329.05	$398.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $861.93 / $1,343.91 / $6,659.76	Facility		$861.93	$1,343.91	$6,659.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Facility		$329.05	$329.05	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $361.96 / $655.40	Professional		$279.69	$361.96	$655.40
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 $427.77 / $427.77 / $427.77	Professional		$427.77	$427.77	$427.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $349.12	Professional		$329.05	$329.05	$349.12