Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $912.01	Facility		$436.52	$436.52	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $912.01	Professional		$338.84	$436.52	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $6,165.95	Facility		$1,071.52	$1,698.24	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $891.25	Facility		$575.44	$575.44	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $891.25	Professional		$416.87	$416.87	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,230.27	Professional		$758.58	$977.24	$1,230.27
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 $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $660.69	Professional		$467.74	$467.74	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,258.93	Facility		$501.19	$707.95	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $660.69	Professional		$338.84	$436.52	$660.69