Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.39 / $441.39 / $441.39	Facility		$441.39	$441.39	$441.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.84 / $441.39 / $764.36	Professional		$381.84	$441.39	$764.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,025.55 / $1,735.05 / $7,388.92	Facility		$1,025.55	$1,735.05	$7,388.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.91 / $652.66 / $652.66	Professional		$540.91	$652.66	$652.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $895.92	Facility		$579.51	$579.51	$895.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $695.61 / $878.08	Professional		$423.04	$695.61	$878.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $772.88 / $1,006.15 / $1,206.83	Professional		$772.88	$1,006.15	$1,206.83
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 $1,116.39 / $1,116.39 / $1,116.39	Professional		$1,116.39	$1,116.39	$1,116.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $559.94 / $799.92 / $839.91	Professional		$559.94	$799.92	$839.91
United Facility/Professional Professional Modifier Low / Median / High Price $338.61 / $428.42 / $881.96	Professional		$338.61	$428.42	$881.96