Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.01 / $515.01 / $515.01	Facility		$515.01	$515.01	$515.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.65 / $515.01 / $735.34	Professional		$390.65	$515.01	$735.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,243.38 / $2,103.58 / $8,953.15	Facility		$1,243.38	$2,103.58	$8,953.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $1,080.18	Facility		$673.11	$673.11	$1,080.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $1,206.38	Professional		$491.37	$673.11	$1,206.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $884.47 / $1,347.16 / $1,619.67	Professional		$884.47	$1,347.16	$1,619.67
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 $1,352.72 / $1,352.72 / $1,352.72	Professional		$1,352.72	$1,352.72	$1,352.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $548.99 / $784.28 / $823.49	Professional		$548.99	$784.28	$823.49
United Facility/Professional Professional Modifier Low / Median / High Price $363.68 / $519.12 / $891.16	Professional		$363.68	$519.12	$891.16