Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.08 / $850.08 / $3,375.29	Facility		$850.08	$850.08	$3,375.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $850.08 / $961.40	Professional		$850.08	$850.08	$961.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.94 / $4,255.68 / $12,790.59	Facility		$979.94	$4,255.68	$12,790.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $817.19 / $1,105.60 / $1,902.40	Professional		$817.19	$1,105.60	$1,902.40
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 $1,249.82 / $1,249.82 / $1,312.31	Professional		$1,249.82	$1,249.82	$1,312.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $956.34	Professional		$885.50	$885.50	$956.34