Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.62 / $469.62 / $469.62	Facility		$469.62	$469.62	$469.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.57 / $469.62 / $717.41	Professional		$376.57	$469.62	$717.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,133.67 / $1,910.84 / $8,163.99	Facility		$1,133.67	$1,910.84	$8,163.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.12 / $721.12 / $721.12	Professional		$721.12	$721.12	$721.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $989.01	Facility		$528.74	$528.74	$989.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $528.74 / $1,099.88	Professional		$385.98	$528.74	$1,099.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $1,013.48 / $1,284.49	Professional		$826.00	$1,013.48	$1,284.49
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 $1,233.49 / $1,233.49 / $1,233.49	Professional		$1,233.49	$1,233.49	$1,233.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $535.64 / $765.21 / $803.47	Professional		$535.64	$765.21	$803.47
United Facility/Professional Professional Modifier Low / Median / High Price $333.44 / $473.36 / $812.61	Professional		$333.44	$473.36	$812.61