Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.49 / $449.49 / $449.49	Facility		$449.49	$449.49	$449.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.36 / $449.49 / $709.76	Professional		$376.36	$449.49	$709.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,044.63 / $1,767.33 / $7,524.63	Facility		$1,044.63	$1,767.33	$7,524.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.66 / $664.64 / $664.64	Professional		$563.66	$664.64	$664.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $1,038.92	Facility		$565.73	$565.73	$1,038.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $565.73 / $1,014.00	Professional		$412.98	$565.73	$1,014.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $743.35 / $1,077.00 / $1,315.00	Professional		$743.35	$1,077.00	$1,315.00
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 $1,136.89 / $1,136.89 / $1,136.89	Professional		$1,136.89	$1,136.89	$1,136.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $493.69 / $705.28 / $740.54	Professional		$493.69	$705.28	$740.54
United Facility/Professional Professional Modifier Low / Median / High Price $361.47 / $436.30 / $808.87	Professional		$361.47	$436.30	$808.87