Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.26 / $476.26 / $768.69	Facility		$476.26	$476.26	$768.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.09 / $476.26 / $741.29	Professional		$382.09	$476.26	$741.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.64 / $1,872.24 / $7,972.75	Facility		$1,106.64	$1,872.24	$7,972.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.92 / $704.22 / $704.22	Professional		$542.92	$704.22	$704.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $964.63	Facility		$524.34	$524.34	$964.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $1,074.38	Professional		$382.77	$524.34	$1,074.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $787.62 / $1,025.40 / $1,258.71	Professional		$787.62	$1,025.40	$1,258.71
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 $1,204.58 / $1,204.58 / $1,204.58	Professional		$1,204.58	$1,204.58	$1,204.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $523.09 / $747.28 / $784.64	Professional		$523.09	$747.28	$784.64
United Facility/Professional Professional Modifier Low / Median / High Price $348.87 / $462.28 / $793.57	Professional		$348.87	$462.28	$793.57