Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.87 / $350.87 / $350.87	Facility		$350.87	$350.87	$350.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $377.86 / $604.82	Professional		$316.58	$377.86	$604.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.47 / $1,433.77 / $6,099.63	Facility		$847.47	$1,433.77	$6,099.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $852.42	Facility		$458.59	$458.59	$852.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $458.59 / $822.00	Professional		$334.77	$458.59	$822.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.57 / $871.66 / $1,064.08	Professional		$602.57	$871.66	$1,064.08
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 $921.58 / $921.58 / $921.58	Professional		$921.58	$921.58	$921.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $374.01 / $534.30 / $561.02	Professional		$374.01	$534.30	$561.02
United Facility/Professional Professional Modifier Low / Median / High Price $319.33 / $353.67 / $620.99	Professional		$319.33	$353.67	$620.99