Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.69 / $409.69 / $409.69	Facility		$409.69	$409.69	$409.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.44 / $414.69 / $670.80	Professional		$347.44	$414.69	$670.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.98 / $1,673.18 / $7,122.07	Facility		$988.98	$1,673.18	$7,122.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.08 / $629.08 / $782.89	Professional		$629.08	$629.08	$782.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $779.44	Facility		$511.94	$511.94	$779.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $959.63	Professional		$373.72	$373.72	$959.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $703.58 / $918.08 / $1,158.83	Professional		$703.58	$918.08	$1,158.83
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 $1,076.06 / $1,076.06 / $1,076.06	Professional		$1,076.06	$1,076.06	$1,076.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.71 / $623.88 / $655.07	Professional		$436.71	$623.88	$655.07
United Facility/Professional Professional Modifier Low / Median / High Price $315.14 / $412.95 / $708.90	Professional		$315.14	$412.95	$708.90