Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.79 / $618.79 / $618.79	Facility		$618.79	$618.79	$618.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.01 / $618.79 / $963.15	Professional		$491.01	$618.79	$963.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.34 / $3,311.08 / $10,359.02	Facility		$1,938.34	$3,311.08	$10,359.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.10 / $914.99 / $914.99	Professional		$770.10	$914.99	$914.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $1,326.44	Facility		$711.81	$711.81	$1,326.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $711.81 / $1,395.75	Professional		$519.62	$711.81	$1,395.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $917.39 / $1,203.94 / $1,444.73	Professional		$917.39	$1,203.94	$1,444.73
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 $1,565.12 / $1,565.12 / $1,565.12	Professional		$1,565.12	$1,565.12	$1,565.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $635.19 / $907.42 / $952.79	Professional		$635.19	$907.42	$952.79
United Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $600.63 / $1,063.55	Professional		$445.72	$600.63	$1,063.55