Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.86 / $435.86 / $435.86	Facility		$435.86	$435.86	$435.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.88 / $440.28 / $664.25	Professional		$352.88	$440.28	$664.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.58 / $1,780.78 / $7,577.11	Facility		$1,052.58	$1,780.78	$7,577.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $951.16	Facility		$589.44	$589.44	$951.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $589.44 / $1,020.75	Professional		$430.29	$589.44	$1,020.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $748.53 / $924.65 / $1,182.08	Professional		$748.53	$924.65	$1,182.08
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 $1,144.81 / $1,144.81 / $1,144.81	Professional		$1,144.81	$1,144.81	$1,144.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $464.61 / $663.73 / $696.91	Professional		$464.61	$663.73	$696.91
United Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $439.33 / $771.41	Professional		$330.17	$439.33	$771.41