Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.30 / $426.30 / $426.30	Facility		$426.30	$426.30	$426.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $434.49 / $707.93	Professional		$382.28	$434.49	$707.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.73 / $1,740.43 / $7,410.87	Facility		$1,028.73	$1,740.43	$7,410.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.59 / $654.59 / $654.59	Professional		$654.59	$654.59	$654.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $958.90	Facility		$496.34	$496.34	$958.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $1,008.61	Professional		$362.33	$362.33	$1,008.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $732.11 / $962.69 / $1,205.82	Professional		$732.11	$962.69	$1,205.82
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 $1,119.69 / $1,119.69 / $1,119.69	Professional		$1,119.69	$1,119.69	$1,119.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $454.42 / $649.17 / $681.63	Professional		$454.42	$649.17	$681.63
United Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $429.70 / $760.87	Professional		$384.10	$429.70	$760.87