Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,071.52	Facility		$537.03	$537.03	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $1,071.52	Professional		$478.63	$549.54	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $7,244.36	Facility		$1,258.93	$2,041.74	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $741.31	Facility		$707.95	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,148.15	Professional		$537.03	$537.03	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,513.56	Professional		$831.76	$1,202.26	$1,513.56
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 $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $851.14	Professional		$588.84	$588.84	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $831.76 / $1,698.24	Facility		$436.52	$831.76	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $870.96	Professional		$407.38	$524.81	$870.96