Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.12 / $488.12 / $488.12	Facility		$488.12	$488.12	$488.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.78 / $488.12 / $690.85	Professional		$348.78	$488.12	$690.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.26 / $1,920.66 / $8,171.39	Facility		$1,135.26	$1,920.66	$8,171.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.47 / $607.47 / $721.76	Professional		$607.47	$607.47	$721.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $842.59	Facility		$550.80	$550.80	$842.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $1,101.00	Professional		$402.09	$550.80	$1,101.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $759.75 / $971.74 / $1,196.13	Professional		$759.75	$971.74	$1,196.13
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 $1,234.59 / $1,234.59 / $1,234.59	Professional		$1,234.59	$1,234.59	$1,234.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $536.13 / $765.91 / $804.20	Professional		$536.13	$765.91	$804.20
United Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $469.57 / $826.92	Professional		$318.45	$469.57	$826.92