Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.47 / $500.47 / $500.47	Facility		$500.47	$500.47	$500.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $509.74 / $791.02	Professional		$399.77	$509.74	$791.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,623.19 / $4,871.26 / $10,624.83	Facility		$1,623.19	$4,871.26	$10,624.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.55 / $579.66 / $579.66	Professional		$503.55	$579.66	$579.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $1,279.55	Facility		$854.15	$854.15	$1,279.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $718.79 / $1,021.13	Professional		$623.53	$718.79	$1,021.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.58 / $1,488.25 / $2,106.63	Professional		$724.58	$1,488.25	$2,106.63
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 $991.54 / $991.54 / $991.54	Professional		$991.54	$991.54	$991.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $710.34 / $1,014.78 / $1,065.51	Professional		$710.34	$1,014.78	$1,065.51
United Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $778.72 / $1,378.90	Professional		$525.22	$778.72	$1,378.90