Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.41 / $484.41 / $484.41	Facility		$484.41	$484.41	$484.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.54 / $484.41 / $732.60	Professional		$335.54	$484.41	$732.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,170.24 / $1,979.84 / $8,420.98	Facility		$1,170.24	$1,979.84	$8,420.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $1,093.35	Facility		$644.36	$644.36	$1,093.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $644.36 / $1,134.75	Professional		$470.38	$644.36	$1,134.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $755.93 / $872.79 / $1,162.25	Professional		$755.93	$872.79	$1,162.25
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 $1,272.32 / $1,272.32 / $1,272.32	Professional		$1,272.32	$1,272.32	$1,272.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $395.39 / $564.85 / $593.09	Professional		$395.39	$564.85	$593.09
United Facility/Professional Professional Modifier Low / Median / High Price $335.20 / $488.26 / $838.18	Professional		$335.20	$488.26	$838.18