Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.65 / $621.65 / $621.65	Facility		$621.65	$621.65	$621.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.82 / $621.65 / $967.59	Professional		$485.82	$621.65	$967.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.31 / $2,445.21 / $10,406.68	Facility		$1,445.31	$2,445.21	$10,406.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $1,323.92	Facility		$782.41	$782.41	$1,323.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $782.41 / $1,402.13	Professional		$571.16	$782.41	$1,402.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.07 / $1,407.28 / $1,693.29	Professional		$1,028.07	$1,407.28	$1,693.29
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 $1,572.34 / $1,572.34 / $1,572.34	Professional		$1,572.34	$1,572.34	$1,572.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $638.12 / $911.60 / $957.18	Professional		$638.12	$911.60	$957.18
United Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $600.44 / $1,035.83	Professional		$422.06	$600.44	$1,035.83