Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.32 / $818.32 / $818.32	Facility		$818.32	$818.32	$818.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.26 / $818.32 / $1,273.70	Professional		$638.26	$818.32	$1,273.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,901.64 / $3,217.24 / $13,699.05	Facility		$1,901.64	$3,217.24	$13,699.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $1,757.56	Facility		$897.58	$897.58	$1,757.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $1,864.21	Professional		$655.23	$655.23	$1,864.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.70 / $1,630.38 / $1,974.24	Professional		$1,273.70	$1,630.38	$1,974.24
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 $2,069.77 / $2,069.77 / $2,069.77	Professional		$2,069.77	$2,069.77	$2,069.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $839.99 / $1,199.99 / $1,259.98	Professional		$839.99	$1,199.99	$1,259.98
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $597.19 / $794.29 / $1,363.53	Professional		$597.19	$794.29	$1,363.53