Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.97 / $468.97 / $468.97	Facility		$468.97	$468.97	$468.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.91 / $468.97 / $735.83	Professional		$390.91	$468.97	$735.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.08 / $1,915.28 / $8,152.60	Facility		$1,132.08	$1,915.28	$8,152.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.12 / $720.12 / $720.12	Professional		$720.12	$720.12	$720.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $1,012.24	Facility		$612.94	$612.94	$1,012.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $612.94 / $1,098.38	Professional		$447.45	$612.94	$1,098.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $805.39 / $1,042.27 / $1,326.53	Professional		$805.39	$1,042.27	$1,326.53
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 $1,231.78 / $1,231.78 / $1,231.78	Professional		$1,231.78	$1,231.78	$1,231.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $534.90 / $764.15 / $802.35	Professional		$534.90	$764.15	$802.35
United Facility/Professional Facility Modifier Low / Median / High Price $329.75 / $577.08 / $657.98	Facility		$329.75	$577.08	$657.98
United Facility/Professional Professional Modifier Low / Median / High Price $363.92 / $472.70 / $811.48	Professional		$363.92	$472.70	$811.48