Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $1,837.50	Facility		$655.29	$655.29	$1,837.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $720.83	Professional		$655.29	$655.29	$720.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.32 / $1,064.32 / $1,277.18	Professional		$1,064.32	$1,064.32	$1,277.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $865.49	Professional		$655.29	$655.29	$865.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.01 / $832.23 / $1,840.36	Professional		$557.01	$832.23	$1,840.36
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 $851.89 / $851.89 / $851.89	Professional		$851.89	$851.89	$851.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $1,382.02	Professional		$30.00	$40.00	$1,382.02
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $744.64	Professional		$655.29	$655.29	$744.64