Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.81 / $405.81 / $405.81	Facility		$405.81	$405.81	$405.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.55 / $405.81 / $625.10	Professional		$333.55	$405.81	$625.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.44 / $1,657.04 / $7,054.80	Facility		$979.44	$1,657.04	$7,054.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $838.20	Facility		$530.41	$530.41	$838.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $387.20 / $960.13	Professional		$387.20	$387.20	$960.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $696.93 / $912.26 / $1,147.89	Professional		$696.93	$912.26	$1,147.89
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 $1,065.90 / $1,065.90 / $1,065.90	Professional		$1,065.90	$1,065.90	$1,065.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $432.58 / $617.98 / $648.87	Professional		$432.58	$617.98	$648.87
United Facility/Professional Professional Modifier Low / Median / High Price $312.16 / $409.05 / $815.30	Professional		$312.16	$409.05	$815.30