Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.24 / $505.24 / $505.24	Facility		$505.24	$505.24	$505.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $505.24 / $796.45	Professional		$410.24	$505.24	$796.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,219.53 / $2,063.23 / $8,783.16	Facility		$1,219.53	$2,063.23	$8,783.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $1,122.50	Facility		$510.69	$510.69	$1,122.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $510.69 / $1,183.50	Professional		$434.09	$510.69	$1,183.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $779.93 / $918.71 / $1,193.19	Professional		$779.93	$918.71	$1,193.19
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 $1,327.03 / $1,327.03 / $1,327.03	Professional		$1,327.03	$1,327.03	$1,327.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.68 / $623.84 / $655.03	Professional		$436.68	$623.84	$655.03
United Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $509.27 / $874.24	Professional		$339.78	$509.27	$874.24