Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.46 / $499.46 / $499.46	Facility		$499.46	$499.46	$499.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.61 / $499.46 / $777.40	Professional		$372.61	$499.46	$777.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,160.70 / $1,963.70 / $8,361.11	Facility		$1,160.70	$1,963.70	$8,361.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.60 / $738.53 / $738.53	Professional		$602.60	$738.53	$738.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $973.96	Facility		$511.34	$511.34	$973.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $1,126.50	Professional		$373.28	$511.34	$1,126.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $825.99 / $1,084.07 / $1,360.45	Professional		$825.99	$1,084.07	$1,360.45
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 $1,263.28 / $1,263.28 / $1,263.28	Professional		$1,263.28	$1,263.28	$1,263.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.68 / $732.41 / $769.03	Professional		$512.68	$732.41	$769.03
United Facility/Professional Facility Modifier Low / Median / High Price $308.26 / $404.62 / $462.96	Facility		$308.26	$404.62	$462.96
United Facility/Professional Professional Modifier Low / Median / High Price $340.22 / $479.49 / $832.22	Professional		$340.22	$479.49	$832.22