Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.40 / $585.40 / $585.40	Facility		$585.40	$585.40	$585.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.35 / $585.40 / $927.43	Professional		$448.35	$585.40	$927.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,413.51 / $2,391.41 / $10,176.70	Facility		$1,413.51	$2,391.41	$10,176.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.90 / $898.90 / $898.90	Professional		$898.90	$898.90	$898.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $1,307.09	Facility		$765.11	$765.11	$1,307.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $765.11 / $1,371.00	Professional		$558.53	$765.11	$1,371.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.40 / $1,266.72 / $1,605.44	Professional		$1,032.40	$1,266.72	$1,605.44
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 $1,537.59 / $1,537.59 / $1,537.59	Professional		$1,537.59	$1,537.59	$1,537.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $624.01 / $891.45 / $936.02	Professional		$624.01	$891.45	$936.02
United Facility/Professional Professional Modifier Low / Median / High Price $417.39 / $590.05 / $1,044.84	Professional		$417.39	$590.05	$1,044.84