Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.08 / $918.90 / $1,641.77	Facility		$490.08	$918.90	$1,641.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $490.08 / $610.15	Professional		$490.08	$490.08	$610.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.87 / $1,837.05 / $8,181.82	Facility		$728.87	$1,837.05	$8,181.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $575.53 / $708.34	Professional		$200.00	$575.53	$708.34
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 $498.60 / $512.44 / $536.02	Professional		$498.60	$512.44	$536.02
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $541.64	Professional		$510.50	$510.50	$541.64