Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.61 / $396.61 / $396.61	Facility		$396.61	$396.61	$396.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.37 / $396.61 / $617.32	Professional		$343.37	$396.61	$617.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $922.20 / $1,560.20 / $6,639.43	Facility		$922.20	$1,560.20	$6,639.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.36 / $586.45 / $586.45	Professional		$497.36	$586.45	$586.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $848.82	Facility		$499.17	$499.17	$848.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $499.17 / $894.75	Professional		$364.39	$499.17	$894.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $655.90 / $1,361.29 / $1,941.54	Professional		$655.90	$1,361.29	$1,941.54
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 $1,003.15 / $1,003.15 / $1,003.15	Professional		$1,003.15	$1,003.15	$1,003.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $435.61 / $622.30 / $653.42	Professional		$435.61	$622.30	$653.42
United Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $384.97 / $662.86	Professional		$318.95	$384.97	$662.86