Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.29 / $567.29 / $567.29	Facility		$567.29	$567.29	$567.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.35 / $567.29 / $882.98	Professional		$443.35	$567.29	$882.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,456.92 / $5,314.60 / $11,591.82	Facility		$1,456.92	$5,314.60	$11,591.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.94 / $838.83 / $838.83	Professional		$732.94	$838.83	$838.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $1,208.13	Facility		$616.27	$616.27	$1,208.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $1,279.50	Professional		$449.88	$616.27	$1,279.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $993.36 / $1,266.58 / $1,545.22	Professional		$993.36	$1,266.58	$1,545.22
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 $1,434.85 / $1,434.85 / $1,434.85	Professional		$1,434.85	$1,434.85	$1,434.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $582.32 / $831.89 / $873.48	Professional		$582.32	$831.89	$873.48
United Facility/Professional Professional Modifier Low / Median / High Price $410.02 / $550.64 / $945.26	Professional		$410.02	$550.64	$945.26