Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.27 / $906.82 / $906.82	Facility		$777.27	$906.82	$906.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.09 / $440.45 / $516.11	Professional		$430.09	$440.45	$516.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $932.80 / $1,568.27 / $6,339.60	Facility		$932.80	$1,568.27	$6,339.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Facility		$457.73	$457.73	$457.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Professional		$457.73	$457.73	$457.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $512.79 / $1,068.74	Professional		$120.00	$512.79	$1,068.74
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 $441.16 / $441.16 / $441.16	Professional		$441.16	$441.16	$441.16
United Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $533.73	Professional		$518.17	$518.17	$533.73