Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.87 / $332.87 / $332.87	Facility		$332.87	$332.87	$332.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.32 / $332.87 / $468.08	Professional		$236.32	$332.87	$468.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.33 / $1,310.03 / $5,572.27	Facility		$774.33	$1,310.03	$5,572.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $570.90	Facility		$324.30	$324.30	$570.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $750.75	Professional		$236.74	$236.74	$750.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $479.47 / $647.63 / $777.16	Professional		$479.47	$647.63	$777.16
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 $841.92 / $841.92 / $841.92	Professional		$841.92	$841.92	$841.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.60 / $522.29 / $548.40	Professional		$365.60	$522.29	$548.40
United Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $309.60 / $538.48	Professional		$215.77	$309.60	$538.48