Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.35 / $540.35 / $540.35	Facility		$540.35	$540.35	$540.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.30 / $548.25 / $875.64	Professional		$474.30	$548.25	$875.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.09 / $2,125.10 / $9,045.67	Facility		$1,256.09	$2,125.10	$9,045.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.82 / $740.83 / $1,152.01	Facility		$705.82	$740.83	$1,152.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $1,218.75	Professional		$540.80	$740.83	$1,218.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $893.61 / $1,212.89 / $1,503.45	Professional		$893.61	$1,212.89	$1,503.45
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 $1,366.70 / $1,366.70 / $1,366.70	Professional		$1,366.70	$1,366.70	$1,366.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $593.48 / $847.84 / $890.23	Professional		$593.48	$847.84	$890.23
United Facility/Professional Professional Modifier Low / Median / High Price $433.07 / $524.48 / $928.72	Professional		$433.07	$524.48	$928.72