Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $977.24	Facility		$616.60	$616.60	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,023.29	Professional		$467.74	$741.31	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,311.31 / $11,748.98	Facility		$1,202.26	$3,311.31	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $1,380.38	Professional		$120.23	$346.74	$1,380.38
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,137.96	Facility		$954.99	$1,698.24	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Professional		$891.25	$891.25	$933.25