Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.45 / $407.45 / $407.45	Facility		$407.45	$407.45	$407.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.04 / $407.45 / $634.19	Professional		$327.04	$407.45	$634.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $947.64 / $1,603.24 / $6,820.94	Facility		$947.64	$1,603.24	$6,820.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.63 / $602.48 / $602.48	Professional		$460.63	$602.48	$602.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $847.18	Facility		$512.80	$512.80	$847.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $512.80 / $919.13	Professional		$374.35	$512.80	$919.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $673.83 / $982.06 / $1,199.08	Professional		$673.83	$982.06	$1,199.08
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 $1,030.56 / $1,030.56 / $1,030.56	Professional		$1,030.56	$1,030.56	$1,030.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.25 / $597.50 / $627.37	Professional		$418.25	$597.50	$627.37
United Facility/Professional Professional Modifier Low / Median / High Price $280.57 / $395.49 / $678.92	Professional		$280.57	$395.49	$678.92