Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.65 / $621.65 / $621.65	Facility		$621.65	$621.65	$621.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.82 / $621.65 / $967.59	Professional		$485.82	$621.65	$967.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.31 / $2,445.21 / $10,406.68	Facility		$1,445.31	$2,445.21	$10,406.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.68 / $919.21 / $919.21	Professional		$708.68	$919.21	$919.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.53 / $944.53 / $1,323.92	Facility		$944.53	$944.53	$1,323.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $944.53 / $1,402.13	Professional		$689.51	$944.53	$1,402.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.07 / $1,435.64 / $1,776.88	Professional		$1,028.07	$1,435.64	$1,776.88
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 $1,572.34 / $1,572.34 / $1,572.34	Professional		$1,572.34	$1,572.34	$1,572.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $517.40 / $739.15 / $776.10	Professional		$517.40	$739.15	$776.10
United Facility/Professional Professional Modifier Low / Median / High Price $449.20 / $600.44 / $1,035.83	Professional		$449.20	$600.44	$1,035.83