Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $831.76	Facility		$407.38	$407.38	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $831.76	Professional		$323.59	$416.87	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $5,623.41	Facility		$977.24	$1,584.89	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $851.14	Facility		$524.81	$524.81	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $831.76	Professional		$389.05	$389.05	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,174.90	Professional		$691.83	$933.25	$1,174.90
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 $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $616.60	Professional		$436.52	$436.52	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $1,202.26	Facility		$489.78	$660.69	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $616.60	Professional		$309.03	$407.38	$616.60