Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $383.00 / $383.00	Facility		$383.00	$383.00	$383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.87 / $383.00 / $631.11	Professional		$309.87	$383.00	$631.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.38 / $1,565.58 / $6,658.22	Facility		$925.38	$1,565.58	$6,658.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $889.47	Facility		$500.58	$500.58	$889.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $500.58 / $897.00	Professional		$365.42	$500.58	$897.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $657.76 / $889.90 / $1,083.35	Professional		$657.76	$889.90	$1,083.35
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 $1,005.98 / $1,005.98 / $1,005.98	Professional		$1,005.98	$1,005.98	$1,005.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.84 / $624.05 / $655.26	Professional		$436.84	$624.05	$655.26
United Facility/Professional Professional Modifier Low / Median / High Price $288.47 / $386.05 / $662.72	Professional		$288.47	$386.05	$662.72