Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.67 / $602.67 / $602.67	Facility		$602.67	$602.67	$602.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.53 / $602.67 / $795.78	Professional		$462.53	$602.67	$795.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.79 / $2,369.89 / $10,089.00	Facility		$1,400.79	$2,369.89	$10,089.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.43 / $891.15 / $891.15	Professional		$658.43	$891.15	$891.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $999.68	Facility		$567.88	$567.88	$999.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $414.55 / $1,359.38	Professional		$414.55	$414.55	$1,359.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $829.80 / $1,154.70 / $1,407.08	Professional		$829.80	$1,154.70	$1,407.08
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 $1,524.34 / $1,524.34 / $1,524.34	Professional		$1,524.34	$1,524.34	$1,524.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $618.64 / $883.78 / $927.96	Professional		$618.64	$883.78	$927.96
United Facility/Professional Professional Modifier Low / Median / High Price $377.83 / $556.66 / $1,004.22	Professional		$377.83	$556.66	$1,004.22