Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.45 / $445.45 / $445.45	Facility		$445.45	$445.45	$445.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.39 / $479.71 / $725.44	Professional		$385.39	$479.71	$725.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.83 / $1,818.44 / $7,743.82	Facility		$1,074.83	$1,818.44	$7,743.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.99 / $683.99 / $683.99	Professional		$683.99	$683.99	$683.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $975.39	Facility		$582.20	$582.20	$975.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $582.20 / $1,043.25	Professional		$425.01	$582.20	$1,043.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $764.99 / $1,161.82 / $1,396.84	Professional		$764.99	$1,161.82	$1,396.84
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 $1,169.99 / $1,169.99 / $1,169.99	Professional		$1,169.99	$1,169.99	$1,169.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $678.35 / $712.26	Professional		$474.84	$678.35	$712.26
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $358.79 / $449.00 / $795.06	Professional		$358.79	$449.00	$795.06