Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,122.02	Facility		$549.54	$549.54	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,122.02	Professional		$478.63	$588.84	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $7,585.78	Facility		$1,348.96	$2,137.96	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,621.81	Facility		$724.44	$724.44	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,288.25	Professional		$524.81	$524.81	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,778.28	Professional		$954.99	$1,445.44	$1,778.28
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 $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $831.76	Professional		$588.84	$588.84	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,778.28	Facility		$724.44	$891.25	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $933.25	Professional		$457.09	$549.54	$933.25