Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.65 / $713.65 / $713.65	Facility		$713.65	$713.65	$713.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.31 / $713.65 / $982.72	Professional		$499.31	$713.65	$982.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,658.37 / $2,805.67 / $11,946.74	Facility		$1,658.37	$2,805.67	$11,946.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,198.57	Facility		$680.86	$680.86	$1,198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $1,609.50	Professional		$497.03	$680.86	$1,609.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.96 / $1,388.47 / $1,682.44	Professional		$1,075.96	$1,388.47	$1,682.44
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 $1,805.01 / $1,805.01 / $1,805.01	Professional		$1,805.01	$1,805.01	$1,805.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $732.55 / $1,046.50 / $1,098.82	Professional		$732.55	$1,046.50	$1,098.82
United Facility/Professional Facility Modifier Low / Median / High Price $410.45 / $538.75 / $616.42	Facility		$410.45	$538.75	$616.42
United Facility/Professional Professional Modifier Low / Median / High Price $455.27 / $686.51 / $1,282.01	Professional		$455.27	$686.51	$1,282.01