Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,570.40	Facility		$724.44	$1,258.93	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $794.33	Professional		$512.86	$794.33	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $691.83 / $891.25	Facility		$616.60	$691.83	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
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 $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,348.96	Facility		$389.05	$389.05	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52