Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.08 / $582.08 / $582.08	Facility		$582.08	$582.08	$582.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.14 / $582.08 / $805.02	Professional		$420.14	$582.08	$805.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,405.56 / $2,377.96 / $10,118.94	Facility		$1,405.56	$2,377.96	$10,118.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.79 / $893.79 / $929.54	Professional		$893.79	$893.79	$929.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $1,053.43	Facility		$694.09	$694.09	$1,053.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $694.09 / $1,363.50	Professional		$506.69	$694.09	$1,363.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $957.66 / $1,228.01 / $1,556.32	Professional		$957.66	$1,228.01	$1,556.32
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 $1,528.85 / $1,528.85 / $1,528.85	Professional		$1,528.85	$1,528.85	$1,528.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $663.91 / $948.45 / $995.87	Professional		$663.91	$948.45	$995.87
United Facility/Professional Professional Modifier Low / Median / High Price $427.22 / $586.72 / $1,007.20	Professional		$427.22	$586.72	$1,007.20