Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.11 / $404.11 / $404.11	Facility		$404.11	$404.11	$404.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $404.11 / $631.11	Professional		$311.95	$404.11	$631.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.26 / $1,651.66 / $7,025.09	Facility		$976.26	$1,651.66	$7,025.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.52 / $620.52 / $620.52	Professional		$620.52	$620.52	$620.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $889.47	Facility		$555.76	$555.76	$889.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $555.76 / $946.50	Professional		$405.70	$555.76	$946.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $694.01 / $898.13 / $1,143.07	Professional		$694.01	$898.13	$1,143.07
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 $1,061.42 / $1,061.42 / $1,061.42	Professional		$1,061.42	$1,061.42	$1,061.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.76 / $615.38 / $646.14	Professional		$430.76	$615.38	$646.14
United Facility/Professional Professional Modifier Low / Median / High Price $310.85 / $407.33 / $699.25	Professional		$310.85	$407.33	$699.25