Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.37 / $582.37 / $582.37	Facility		$582.37	$582.37	$582.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.41 / $582.37 / $906.45	Professional		$479.41	$582.37	$906.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,354.68 / $2,300.06 / $7,814.15	Facility		$1,354.68	$2,300.06	$7,814.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.42 / $861.13 / $861.13	Professional		$752.42	$861.13	$861.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $1,167.39	Facility		$732.96	$732.96	$1,167.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $535.05 / $1,326.76	Professional		$535.05	$535.05	$1,326.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $963.10 / $1,351.63 / $1,672.91	Professional		$963.10	$1,351.63	$1,672.91
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 $1,472.98 / $1,472.98 / $1,472.98	Professional		$1,472.98	$1,472.98	$1,472.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $639.64 / $913.78 / $959.46	Professional		$639.64	$913.78	$959.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,133.06 / $1,657.40 / $3,080.01	Facility		$1,133.06	$1,657.40	$3,080.01
United Facility/Professional Professional Modifier Low / Median / High Price $430.66 / $565.27 / $1,000.95	Professional		$430.66	$565.27	$1,000.95