Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $1,029.00	Facility		$487.59	$487.59	$1,029.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $536.34	Professional		$487.59	$487.59	$536.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $487.59 / $487.59	Facility		$487.59	$487.59	$487.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $574.98	Professional		$487.59	$487.59	$574.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.07 / $604.61 / $1,343.38	Professional		$390.07	$604.61	$1,343.38
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 $633.87 / $633.87 / $633.87	Professional		$633.87	$633.87	$633.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $725.15	Professional		$30.00	$40.00	$725.15
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $534.55	Professional		$487.59	$487.59	$534.55