Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.84 / $477.84 / $477.84	Facility		$477.84	$477.84	$477.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.58 / $477.84 / $637.12	Professional		$360.58	$477.84	$637.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,942.78 / $6,294.72 / $12,605.17	Facility		$2,942.78	$6,294.72	$12,605.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $54.77 / $54.77	Professional		$47.22	$54.77	$54.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $715.21	Facility		$356.59	$356.59	$715.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $356.59 / $862.50	Professional		$64.79	$356.59	$862.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $125.00 / $345.40	Professional		$99.30	$125.00	$345.40
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 $57.45 / $82.16 / $603.22	Professional		$57.45	$82.16	$603.22
United Facility/Professional Professional Modifier Low / Median / High Price $334.42 / $416.23 / $717.45	Professional		$334.42	$416.23	$717.45