Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.46 / $515.46 / $515.46	Facility		$515.46	$515.46	$515.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.34 / $515.46 / $687.28	Professional		$433.34	$515.46	$687.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,174.47 / $6,790.32 / $13,597.61	Facility		$3,174.47	$6,790.32	$13,597.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $55.43 / $56.76	Professional		$55.43	$55.43	$56.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.84 / $685.84 / $685.84	Facility		$685.84	$685.84	$685.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $577.92 / $1,082.81	Professional		$59.64	$577.92	$1,082.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.59 / $345.40	Professional		$100.00	$128.59	$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 $68.56 / $83.15 / $720.00	Professional		$68.56	$83.15	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.71 / $478.37 / $862.18	Professional		$397.71	$478.37	$862.18