Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $977.24	Facility		$489.78	$489.78	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $776.25	Professional		$354.81	$489.78	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $6,606.93	Facility		$1,148.15	$1,862.09	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $724.44	Professional		$602.56	$602.56	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $630.96	Facility		$549.54	$549.54	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $954.99	Professional		$398.11	$398.11	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,230.27	Professional		$758.58	$977.24	$1,230.27
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 $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $758.58	Professional		$537.03	$537.03	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $758.58 / $1,258.93	Facility		$323.59	$758.58	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $691.83	Professional		$316.23	$478.63	$691.83