Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.20 / $393.20 / $393.20	Facility		$393.20	$393.20	$393.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.20 / $423.44 / $676.90	Professional		$393.20	$423.44	$676.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.23 / $1,605.93 / $6,835.49	Facility		$949.23	$1,605.93	$6,835.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.62 / $603.77 / $603.77	Professional		$589.62	$603.77	$603.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $990.80	Facility		$703.94	$703.94	$990.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $633.69 / $921.00	Professional		$598.35	$633.69	$921.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $675.27 / $844.66 / $1,059.69	Professional		$675.27	$844.66	$1,059.69
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 $1,032.76 / $1,032.76 / $1,032.76	Professional		$1,032.76	$1,032.76	$1,032.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.93 / $458.48 / $481.40	Professional		$320.93	$458.48	$481.40
United Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $396.33 / $680.37	Professional		$330.97	$396.33	$680.37