Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $660.69 / $1,000.00	Facility		$380.19	$660.69	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $645.65	Professional		$380.19	$380.19	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,137.96 / $6,165.95	Facility		$575.44	$2,137.96	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $489.78	Professional		$380.19	$380.19	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,737.80	Professional		$398.11	$1,148.15	$1,737.80
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 $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $588.84	Professional		$436.52	$537.03	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $676.08	Facility		$380.19	$426.58	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $457.09	Professional		$380.19	$407.38	$457.09