Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.34 / $413.34 / $413.34	Facility		$413.34	$413.34	$413.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $413.34 / $552.50	Professional		$263.81	$413.34	$552.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,545.55 / $5,445.04 / $10,903.69	Facility		$2,545.55	$5,445.04	$10,903.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $651.90	Facility		$316.74	$316.74	$651.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $316.74 / $791.25	Professional		$58.97	$316.74	$791.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $107.27 / $345.40	Professional		$78.27	$107.27	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $77.03 / $102.69	Professional		$77.03	$77.03	$102.69
United Facility/Professional Professional Modifier Low / Median / High Price $240.59 / $304.58 / $524.85	Professional		$240.59	$304.58	$524.85