Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.16 / $527.16 / $527.16	Facility		$527.16	$527.16	$527.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.72 / $527.16 / $707.40	Professional		$298.72	$527.16	$707.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,246.54 / $6,944.48 / $13,906.32	Facility		$3,246.54	$6,944.48	$13,906.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $69.23 / $69.23	Professional		$49.87	$69.23	$69.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.49 / $763.49 / $763.49	Facility		$763.49	$763.49	$763.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $643.37 / $1,068.75	Professional		$65.25	$643.37	$1,068.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $120.00 / $345.40	Professional		$85.85	$120.00	$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 $40.38 / $101.77 / $138.44	Professional		$40.38	$101.77	$138.44
United Facility/Professional Professional Modifier Low / Median / High Price $314.11 / $403.62 / $660.43	Professional		$314.11	$403.62	$660.43