Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $870.96	Facility		$436.52	$436.52	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $794.33	Professional		$389.05	$446.68	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $5,888.44	Facility		$1,023.29	$1,659.59	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $645.65	Professional		$537.03	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $912.01	Facility		$575.44	$575.44	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $891.25	Professional		$426.58	$426.58	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,202.26	Professional		$724.44	$977.24	$1,202.26
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 $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $794.33	Professional		$562.34	$562.34	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $1,318.26	Facility		$346.74	$691.83	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $870.96	Professional		$338.84	$426.58	$870.96