Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.28 / $875.28 / $875.28	Facility		$875.28	$875.28	$875.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.66 / $875.28 / $1,167.04	Professional		$605.66	$875.28	$1,167.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,390.42 / $11,530.32 / $23,089.46	Facility		$5,390.42	$11,530.32	$23,089.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $104.84 / $104.84	Professional		$79.33	$104.84	$104.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $1,245.41	Facility		$881.10	$881.10	$1,245.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $881.10 / $1,620.00	Professional		$121.82	$881.10	$1,620.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $179.72 / $345.40	Professional		$100.00	$179.72	$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 $157.26 / $157.26 / $209.69	Professional		$157.26	$157.26	$209.69
United Facility/Professional Professional Modifier Low / Median / High Price $612.71 / $827.38 / $1,355.21	Professional		$612.71	$827.38	$1,355.21