Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.91 / $449.41 / $1,449.00	Facility		$441.91	$449.41	$1,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $483.65	Professional		$449.41	$449.41	$483.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.12 / $675.80 / $675.80	Professional		$555.12	$675.80	$675.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $593.55	Professional		$449.41	$449.41	$593.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $570.75 / $1,558.70	Professional		$382.00	$570.75	$1,558.70
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 $584.23 / $584.23 / $584.23	Professional		$584.23	$584.23	$584.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $656.50 / $675.81 / $724.08	Professional		$656.50	$675.81	$724.08
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $492.71	Professional		$449.41	$449.41	$492.71