Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.55 / $406.55 / $406.55	Facility		$406.55	$406.55	$406.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.16 / $406.55 / $632.78	Professional		$360.16	$406.55	$632.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.46 / $1,597.86 / $6,805.79	Facility		$944.46	$1,597.86	$6,805.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.81 / $601.14 / $601.14	Professional		$509.81	$601.14	$601.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $1,015.59	Facility		$494.25	$494.25	$1,015.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $916.88	Professional		$360.80	$494.25	$916.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $672.33 / $969.30 / $1,186.47	Professional		$672.33	$969.30	$1,186.47
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 $1,028.27 / $1,028.27 / $1,028.27	Professional		$1,028.27	$1,028.27	$1,028.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.32 / $596.17 / $625.98	Professional		$417.32	$596.17	$625.98
United Facility/Professional Professional Modifier Low / Median / High Price $308.98 / $394.61 / $698.75	Professional		$308.98	$394.61	$698.75