Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.78 / $510.78 / $1,577.96	Facility		$510.78	$510.78	$1,577.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.50 / $520.24 / $889.34	Professional		$452.50	$520.24	$889.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.73 / $2,009.43 / $8,550.70	Facility		$1,187.73	$2,009.43	$8,550.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.93 / $755.27 / $755.27	Professional		$659.93	$755.27	$755.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $1,301.75	Facility		$620.97	$620.97	$1,301.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $620.97 / $1,152.00	Professional		$453.31	$620.97	$1,152.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $844.71 / $1,133.03 / $1,391.29	Professional		$844.71	$1,133.03	$1,391.29
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 $1,291.91 / $1,291.91 / $1,291.91	Professional		$1,291.91	$1,291.91	$1,291.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $561.02 / $801.46 / $841.53	Professional		$561.02	$801.46	$841.53
United Facility/Professional Professional Modifier Low / Median / High Price $410.76 / $495.79 / $853.66	Professional		$410.76	$495.79	$853.66