Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.95 / $315.95 / $315.95	Facility		$315.95	$315.95	$315.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $340.25 / $613.11	Professional		$287.64	$340.25	$613.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $763.20 / $1,291.20 / $5,492.44	Facility		$763.20	$1,291.20	$5,492.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $702.19	Facility		$412.94	$412.94	$702.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $412.94 / $739.88	Professional		$301.45	$412.94	$739.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $542.60 / $1,047.15 / $1,274.79	Professional		$542.60	$1,047.15	$1,274.79
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 $829.86 / $829.86 / $829.86	Professional		$829.86	$829.86	$829.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $336.79 / $481.13 / $505.18	Professional		$336.79	$481.13	$505.18
United Facility/Professional Professional Modifier Low / Median / High Price $266.73 / $318.47 / $559.17	Professional		$266.73	$318.47	$559.17