Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $1,751.40	Facility		$461.36	$461.36	$1,751.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $507.49	Professional		$461.36	$461.36	$507.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.79 / $567.79 / $567.79	Professional		$567.79	$567.79	$567.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $567.22	Professional		$461.36	$461.36	$567.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.16 / $572.09 / $1,007.19	Professional		$392.16	$572.09	$1,007.19
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 $599.77 / $599.77 / $599.77	Professional		$599.77	$599.77	$599.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $737.28	Professional		$30.00	$40.00	$737.28
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $505.81	Professional		$461.36	$461.36	$505.81