Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.79 / $437.79 / $437.79	Facility		$437.79	$437.79	$437.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.90 / $440.00 / $645.15	Professional		$362.90	$440.00	$645.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,788.85 / $7,610.57	Facility		$1,057.34	$1,788.85	$7,610.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.24 / $672.24 / $705.85	Professional		$672.24	$672.24	$705.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $882.79	Facility		$572.20	$572.20	$882.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $572.20 / $1,025.25	Professional		$417.71	$572.20	$1,025.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $751.84 / $967.99 / $1,226.78	Professional		$751.84	$967.99	$1,226.78
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 $1,149.88 / $1,149.88 / $1,149.88	Professional		$1,149.88	$1,149.88	$1,149.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $466.67 / $666.68 / $700.01	Professional		$466.67	$666.68	$700.01
United Facility/Professional Professional Modifier Low / Median / High Price $320.68 / $441.28 / $757.53	Professional		$320.68	$441.28	$757.53