Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.48 / $570.48 / $570.48	Facility		$570.48	$570.48	$570.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.73 / $607.89 / $968.90	Professional		$514.73	$607.89	$968.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.94 / $2,329.54 / $9,917.36	Facility		$1,376.94	$2,329.54	$9,917.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $1,496.31	Facility		$812.21	$812.21	$1,496.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $812.21 / $1,336.13	Professional		$592.91	$812.21	$1,336.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $979.73 / $1,319.30 / $1,613.67	Professional		$979.73	$1,319.30	$1,613.67
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 $1,498.41 / $1,498.41 / $1,498.41	Professional		$1,498.41	$1,498.41	$1,498.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $608.11 / $868.74 / $912.17	Professional		$608.11	$868.74	$912.17
United Facility/Professional Professional Modifier Low / Median / High Price $519.20 / $575.03 / $1,018.22	Professional		$519.20	$575.03	$1,018.22