Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.83 / $339.83 / $339.83	Facility		$339.83	$339.83	$339.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.72 / $339.83 / $491.21	Professional		$267.72	$339.83	$491.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.44 / $1,388.04 / $5,907.68	Facility		$820.44	$1,388.04	$5,907.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $642.79	Facility		$483.85	$483.85	$642.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $483.85 / $796.13	Professional		$353.21	$483.85	$796.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $583.61 / $1,003.73 / $1,214.89	Professional		$583.61	$1,003.73	$1,214.89
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 $892.58 / $892.58 / $892.58	Professional		$892.58	$892.58	$892.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $387.61 / $553.73 / $581.41	Professional		$387.61	$553.73	$581.41
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $260.68 / $342.54 / $623.30	Professional		$260.68	$342.54	$623.30