Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.60 / $475.60 / $475.60	Facility		$475.60	$475.60	$475.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.69 / $475.60 / $740.26	Professional		$371.69	$475.60	$740.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,105.05 / $1,869.55 / $7,961.71	Facility		$1,105.05	$1,869.55	$7,961.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $703.25 / $703.25	Professional		$569.29	$703.25	$703.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $1,012.87	Facility		$576.88	$576.88	$1,012.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $576.88 / $1,072.88	Professional		$421.12	$576.88	$1,072.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $786.53 / $1,076.67 / $1,317.45	Professional		$786.53	$1,076.67	$1,317.45
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 $1,202.93 / $1,202.93 / $1,202.93	Professional		$1,202.93	$1,202.93	$1,202.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $488.20 / $697.43 / $732.30	Professional		$488.20	$697.43	$732.30
United Facility/Professional Facility Modifier Low / Median / High Price $925.33 / $1,322.59 / $2,457.82	Facility		$925.33	$1,322.59	$2,457.82
United Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $459.37 / $769.39	Professional		$343.66	$459.37	$769.39