Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.41 / $403.41 / $403.41	Facility		$403.41	$403.41	$403.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.89 / $422.17 / $628.53	Professional		$313.89	$422.17	$628.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $974.67 / $1,648.97 / $7,012.88	Facility		$974.67	$1,648.97	$7,012.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.44 / $619.44 / $619.44	Professional		$619.44	$619.44	$619.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $885.83	Facility		$527.25	$527.25	$885.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $527.25 / $945.00	Professional		$384.89	$527.25	$945.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.60 / $884.15 / $1,120.58	Professional		$720.60	$884.15	$1,120.58
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 $1,059.57 / $1,059.57 / $1,059.57	Professional		$1,059.57	$1,059.57	$1,059.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $496.67 / $709.54 / $745.01	Professional		$496.67	$709.54	$745.01
United Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $406.62 / $713.97	Professional		$310.31	$406.62	$713.97