Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.30 / $552.30 / $552.30	Facility		$552.30	$552.30	$552.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.62 / $552.30 / $859.66	Professional		$431.62	$552.30	$859.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,284.72 / $2,173.52 / $9,245.83	Facility		$1,284.72	$2,173.52	$9,245.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.59 / $816.67 / $816.67	Professional		$692.59	$816.67	$816.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $1,176.19	Facility		$695.41	$695.41	$1,176.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $695.41 / $1,245.75	Professional		$507.65	$695.41	$1,245.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $1,174.00 / $1,370.00	Professional		$891.00	$1,174.00	$1,370.00
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 $1,396.94 / $1,396.94 / $1,396.94	Professional		$1,396.94	$1,396.94	$1,396.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $566.93 / $809.91 / $850.40	Professional		$566.93	$809.91	$850.40
United Facility/Professional Professional Modifier Low / Median / High Price $399.08 / $533.44 / $893.48	Professional		$399.08	$533.44	$893.48