Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.51 / $449.51 / $449.51	Facility		$449.51	$449.51	$449.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.51 / $469.73 / $696.74	Professional		$376.51	$469.73	$696.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,044.63 / $1,767.33 / $7,524.87	Facility		$1,044.63	$1,767.33	$7,524.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.76 / $664.67 / $664.67	Professional		$580.76	$664.67	$664.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $976.82	Facility		$510.00	$510.00	$976.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $510.00 / $1,014.00	Professional		$372.30	$510.00	$1,014.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $743.38 / $981.00 / $1,208.70	Professional		$743.38	$981.00	$1,208.70
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 $1,136.93 / $1,136.93 / $1,136.93	Professional		$1,136.93	$1,136.93	$1,136.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $461.41 / $659.17 / $692.12	Professional		$461.41	$659.17	$692.12
United Facility/Professional Professional Modifier Low / Median / High Price $336.84 / $436.31 / $749.01	Professional		$336.84	$436.31	$749.01