Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.44 / $463.44 / $936.35	Facility		$463.44	$463.44	$936.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.46 / $463.44 / $669.20	Professional		$341.46	$463.44	$669.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,119.35 / $1,893.76 / $8,056.57	Facility		$1,119.35	$1,893.76	$8,056.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.63 / $711.63 / $711.63	Professional		$711.63	$711.63	$711.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $943.16	Facility		$663.31	$663.31	$943.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $663.31 / $1,085.63	Professional		$484.22	$663.31	$1,085.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $753.09 / $936.35 / $1,166.71	Professional		$753.09	$936.35	$1,166.71
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 $1,217.26 / $1,217.26 / $1,217.26	Professional		$1,217.26	$1,217.26	$1,217.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $528.59 / $755.14 / $792.89	Professional		$528.59	$755.14	$792.89
United Facility/Professional Professional Modifier Low / Median / High Price $317.79 / $467.13 / $811.29	Professional		$317.79	$467.13	$811.29