Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,071.52	Facility		$512.86	$512.86	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,071.52	Professional		$380.19	$524.81	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $7,244.36	Facility		$1,258.93	$1,995.26	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,096.48	Facility		$676.08	$676.08	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,071.52	Professional		$489.78	$489.78	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,659.59	Professional		$891.25	$1,348.96	$1,659.59
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 $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $776.25	Professional		$549.54	$549.54	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,412.54	Facility		$575.44	$831.76	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $776.25	Professional		$389.05	$524.81	$776.25