Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.71 / $401.71 / $401.71	Facility		$401.71	$401.71	$401.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.76 / $401.71 / $665.91	Professional		$353.76	$401.71	$665.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $969.90 / $1,640.90 / $6,983.30	Facility		$969.90	$1,640.90	$6,983.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.83 / $616.83 / $616.83	Professional		$616.83	$616.83	$616.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $888.43	Facility		$525.23	$525.23	$888.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $940.88	Professional		$383.42	$525.23	$940.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $730.46 / $933.36 / $1,138.53	Professional		$730.46	$933.36	$1,138.53
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 $1,055.10 / $1,055.10 / $1,055.10	Professional		$1,055.10	$1,055.10	$1,055.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $428.21 / $611.73 / $642.31	Professional		$428.21	$611.73	$642.31
United Facility/Professional Professional Modifier Low / Median / High Price $301.43 / $404.90 / $695.09	Professional		$301.43	$404.90	$695.09