Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.54 / $472.54 / $472.54	Facility		$472.54	$472.54	$472.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.37 / $481.63 / $860.28	Professional		$426.37	$481.63	$860.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.03 / $1,928.73 / $8,214.83	Facility		$1,140.03	$1,928.73	$8,214.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.61 / $725.61 / $725.61	Professional		$725.61	$725.61	$725.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $1,400.30	Facility		$596.58	$596.58	$1,400.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $1,173.42	Professional		$435.50	$435.50	$1,173.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $850.58 / $1,134.16 / $1,356.13	Professional		$850.58	$1,134.16	$1,356.13
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 $1,241.18 / $1,241.18 / $1,241.18	Professional		$1,241.18	$1,241.18	$1,241.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $538.97 / $769.97 / $808.46	Professional		$538.97	$769.97	$808.46
United Facility/Professional Facility Modifier Low / Median / High Price $629.41 / $665.36 / $954.75	Facility		$629.41	$665.36	$954.75
United Facility/Professional Professional Modifier Low / Median / High Price $398.92 / $476.31 / $836.34	Professional		$398.92	$476.31	$836.34