Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $870.96	Facility		$426.58	$426.58	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $870.96	Professional		$371.54	$457.09	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $5,888.44	Facility		$1,047.13	$1,659.59	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $977.24	Facility		$501.19	$501.19	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $954.99	Professional		$363.08	$363.08	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,230.27	Professional		$724.44	$977.24	$1,230.27
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 $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $645.65	Professional		$457.09	$457.09	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,258.93	Facility		$512.86	$691.83	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $645.65	Professional		$331.13	$426.58	$645.65