Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $511.70 / $1,068.84	Facility		$409.52	$511.70	$1,068.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $422.89 / $465.18	Professional		$409.52	$422.89	$465.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $920.65 / $2,115.55 / $8,193.18	Facility		$920.65	$2,115.55	$8,193.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Facility		$422.89	$422.89	$422.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $529.26	Professional		$422.89	$422.89	$529.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $373.83 / $634.34 / $1,556.06	Professional		$373.83	$634.34	$1,556.06
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 $549.76 / $549.76 / $549.76	Professional		$549.76	$549.76	$549.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $572.61 / $613.52	Professional		$409.01	$572.61	$613.52
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $448.26 / $528.61	Professional		$422.89	$448.26	$528.61