Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.26 / $799.74 / $958.64	Professional		$649.26	$799.74	$958.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,256.07 / $2,388.78 / $4,177.70	Facility		$2,256.07	$2,388.78	$4,177.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $937.40 / $937.40	Facility		$937.40	$937.40	$937.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.62 / $1,030.81 / $1,606.34	Professional		$734.62	$1,030.81	$1,606.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $587.61 / $865.58 / $1,472.54	Professional		$587.61	$865.58	$1,472.54
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 $685.46 / $691.44 / $727.52	Professional		$685.46	$691.44	$727.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.54 / $252.35 / $2,500.00	Professional		$245.54	$252.35	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.79 / $642.09 / $1,109.57	Professional		$435.79	$642.09	$1,109.57