Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $2,829.75	Facility		$555.20	$555.20	$2,829.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $644.03	Professional		$555.20	$555.20	$644.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,166.54 / $3,166.54 / $3,166.54	Professional		$3,166.54	$3,166.54	$3,166.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $555.20	Facility		$555.20	$555.20	$555.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $733.29	Professional		$555.20	$555.20	$733.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.92 / $705.10 / $1,416.32	Professional		$471.92	$705.10	$1,416.32
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 $721.76 / $721.76 / $721.76	Professional		$721.76	$721.76	$721.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $4,111.75	Professional		$30.00	$40.00	$4,111.75
United Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $608.69	Professional		$555.20	$555.20	$608.69