Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.04 / $405.04 / $405.04	Facility		$405.04	$405.04	$405.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $427.54 / $670.28	Professional		$346.19	$427.54	$670.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,287.31 / $3,942.39 / $8,598.85	Facility		$1,287.31	$3,942.39	$8,598.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.53 / $574.65 / $574.65	Professional		$421.53	$574.65	$574.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $1,069.51	Facility		$736.58	$736.58	$1,069.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $949.05	Professional		$537.70	$537.70	$949.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $606.58 / $966.45 / $1,469.00	Professional		$606.58	$966.45	$1,469.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $830.05 / $830.05 / $830.05	Professional		$830.05	$830.05	$830.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.63 / $732.33 / $768.94	Professional		$512.63	$732.33	$768.94
United Facility/Professional Professional Modifier Low / Median / High Price $445.05 / $594.89 / $1,026.28	Professional		$445.05	$594.89	$1,026.28