Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $1,669.50	Facility		$713.50	$713.50	$1,669.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $827.66	Professional		$713.50	$713.50	$827.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.07 / $1,104.07 / $1,159.27	Professional		$1,104.07	$1,104.07	$1,159.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $969.00	Professional		$713.50	$713.50	$969.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $606.48 / $906.15 / $2,186.90	Professional		$606.48	$906.15	$2,186.90
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 $927.55 / $927.55 / $927.55	Professional		$927.55	$927.55	$927.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $1,433.63	Professional		$30.00	$40.00	$1,433.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,189.82 / $1,609.18 / $1,609.18	Facility		$1,189.82	$1,609.18	$1,609.18
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $782.24	Professional		$713.50	$713.50	$782.24