Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.12 / $765.12 / $765.12	Facility		$765.12	$765.12	$765.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.88 / $765.12 / $1,003.05	Professional		$518.88	$765.12	$1,003.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,712.02 / $10,079.20 / $20,183.59	Facility		$4,712.02	$10,079.20	$20,183.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $92.52 / $92.52	Professional		$67.95	$92.52	$92.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $1,244.43	Facility		$775.91	$775.91	$1,244.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $768.58 / $1,785.94	Professional		$659.52	$768.58	$1,785.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $153.97 / $345.40	Professional		$100.00	$153.97	$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 $138.78 / $138.78 / $185.04	Professional		$138.78	$138.78	$185.04
United Facility/Professional Professional Modifier Low / Median / High Price $505.76 / $641.47 / $1,077.36	Professional		$505.76	$641.47	$1,077.36