Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.30 / $477.30 / $477.30	Facility		$477.30	$477.30	$477.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.18 / $477.30 / $702.27	Professional		$365.18	$477.30	$702.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.79 / $4,471.54 / $9,752.99	Facility		$1,225.79	$4,471.54	$9,752.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.52 / $705.76 / $705.76	Professional		$530.52	$705.76	$705.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $933.91	Facility		$501.14	$501.14	$933.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $501.14 / $1,076.63	Professional		$365.83	$501.14	$1,076.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $697.43 / $928.63 / $1,114.35	Professional		$697.43	$928.63	$1,114.35
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 $1,207.22 / $1,207.22 / $1,207.22	Professional		$1,207.22	$1,207.22	$1,207.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.95 / $699.93 / $734.92	Professional		$489.95	$699.93	$734.92
United Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $463.29 / $820.36	Professional		$313.29	$463.29	$820.36