Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $643.95 / $1,287.90	Facility		$392.94	$643.95	$1,287.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.39 / $392.94 / $643.95	Professional		$342.39	$392.94	$643.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.80 / $1,037.17 / $3,078.57	Facility		$338.80	$1,037.17	$3,078.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.58 / $596.98 / $1,786.38	Facility		$305.58	$596.98	$1,786.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.25 / $541.82 / $814.24	Professional		$324.25	$541.82	$814.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.09 / $635.60 / $1,572.75	Professional		$399.09	$635.60	$1,572.75
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 $510.04 / $516.41 / $558.09	Professional		$510.04	$516.41	$558.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $274.66 / $583.85	Professional		$32.34	$274.66	$583.85
United Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $473.04 / $771.37	Professional		$373.27	$473.04	$771.37