Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.39 / $497.39 / $497.39	Facility		$497.39	$497.39	$497.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.26 / $497.39 / $745.92	Professional		$344.26	$497.39	$745.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.93 / $1,955.63 / $8,326.46	Facility		$1,155.93	$1,955.63	$8,326.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $931.68	Facility		$626.01	$626.01	$931.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $626.01 / $1,122.00	Professional		$456.99	$626.01	$1,122.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $749.91 / $982.82 / $1,199.65	Professional		$749.91	$982.82	$1,199.65
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 $1,258.04 / $1,258.04 / $1,258.04	Professional		$1,258.04	$1,258.04	$1,258.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.56 / $729.38 / $765.84	Professional		$510.56	$729.38	$765.84
United Facility/Professional Professional Modifier Low / Median / High Price $315.92 / $467.72 / $804.64	Professional		$315.92	$467.72	$804.64