Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.96 / $515.96 / $515.96	Facility		$515.96	$515.96	$515.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.97 / $515.96 / $841.13	Professional		$460.97	$515.96	$841.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,198.85 / $2,028.26 / $8,637.35	Facility		$1,198.85	$2,028.26	$8,637.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.21 / $762.93 / $762.93	Professional		$637.21	$762.93	$762.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $1,208.04	Facility		$627.26	$627.26	$1,208.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $1,208.04	Professional		$457.90	$457.90	$1,208.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $853.27 / $1,240.70 / $1,514.88	Professional		$853.27	$1,240.70	$1,514.88
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 $1,305.01 / $1,305.01 / $1,305.01	Professional		$1,305.01	$1,305.01	$1,305.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $566.69 / $809.57 / $850.04	Professional		$566.69	$809.57	$850.04
United Facility/Professional Facility Modifier Low / Median / High Price $339.14 / $496.34 / $1,003.85	Facility		$339.14	$496.34	$1,003.85
United Facility/Professional Professional Modifier Low / Median / High Price $414.92 / $500.81 / $862.31	Professional		$414.92	$500.81	$862.31