Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.19 / $384.19 / $776.22	Facility		$384.19	$384.19	$776.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.11 / $384.19 / $625.34	Professional		$307.11	$384.19	$625.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.97 / $1,568.27 / $6,678.76	Facility		$926.97	$1,568.27	$6,678.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.92 / $589.92 / $589.92	Professional		$589.92	$589.92	$589.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $881.34	Facility		$427.25	$427.25	$881.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $900.00	Professional		$311.89	$427.25	$900.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $659.79 / $834.53 / $1,057.64	Professional		$659.79	$834.53	$1,057.64
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 $1,009.09 / $1,009.09 / $1,009.09	Professional		$1,009.09	$1,009.09	$1,009.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $438.20 / $626.01 / $657.31	Professional		$438.20	$626.01	$657.31
United Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $387.25 / $685.72	Professional		$295.52	$387.25	$685.72