Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.04 / $666.04 / $666.04	Facility		$666.04	$666.04	$666.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.92 / $717.27 / $1,131.20	Professional		$611.92	$717.27	$1,131.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,607.49 / $2,719.59 / $11,578.57	Facility		$1,607.49	$2,719.59	$11,578.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $1,480.25	Facility		$870.50	$870.50	$1,480.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $870.50 / $1,560.00	Professional		$635.47	$870.50	$1,560.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.83 / $3,023.85 / $3,681.21	Professional		$1,143.83	$3,023.85	$3,681.21
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 $1,749.38 / $1,749.38 / $1,749.38	Professional		$1,749.38	$1,749.38	$1,749.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $709.98 / $1,014.26 / $1,064.97	Professional		$709.98	$1,014.26	$1,064.97
United Facility/Professional Professional Modifier Low / Median / High Price $562.27 / $671.35 / $1,188.77	Professional		$562.27	$671.35	$1,188.77