Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.21 / $505.21 / $505.21	Facility		$505.21	$505.21	$505.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.84 / $544.07 / $858.05	Professional		$455.84	$544.07	$858.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,219.53 / $2,063.23 / $8,782.69	Facility		$1,219.53	$2,063.23	$8,782.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $1,122.81	Facility		$660.31	$660.31	$1,122.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $660.31 / $1,183.50	Professional		$482.03	$660.31	$1,183.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $867.63 / $1,279.39 / $1,566.28	Professional		$867.63	$1,279.39	$1,566.28
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 $1,326.96 / $1,326.96 / $1,326.96	Professional		$1,326.96	$1,326.96	$1,326.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $576.24 / $823.21 / $864.37	Professional		$576.24	$823.21	$864.37
United Facility/Professional Professional Modifier Low / Median / High Price $426.50 / $509.24 / $1,194.15	Professional		$426.50	$509.24	$1,194.15