Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.13 / $532.13 / $532.13	Facility		$532.13	$532.13	$532.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.11 / $532.13 / $755.24	Professional		$391.11	$532.13	$755.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,284.72 / $2,173.52 / $9,250.65	Facility		$1,284.72	$2,173.52	$9,250.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $962.58	Facility		$695.50	$695.50	$962.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $695.50 / $1,246.50	Professional		$507.72	$695.50	$1,246.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $898.44 / $1,611.05 / $1,949.97	Professional		$898.44	$1,611.05	$1,949.97
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 $1,397.67 / $1,397.67 / $1,397.67	Professional		$1,397.67	$1,397.67	$1,397.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $567.23 / $810.34 / $850.85	Professional		$567.23	$810.34	$850.85
United Facility/Professional Professional Modifier Low / Median / High Price $357.58 / $532.36 / $941.80	Professional		$357.58	$532.36	$941.80