Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.99 / $825.58 / $1,313.87	Facility		$515.99	$825.58	$1,313.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $330.99 / $503.40	Professional		$10.07	$330.99	$503.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.97 / $704.76 / $891.01	Facility		$588.97	$704.76	$891.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.35 / $387.62 / $387.62	Professional		$347.35	$387.62	$387.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.27 / $1,250.50 / $2,316.98	Facility		$565.27	$1,250.50	$2,316.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $557.25 / $696.56	Professional		$525.00	$557.25	$696.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $654.41 / $880.95	Professional		$345.40	$654.41	$880.95
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 $654.41 / $654.41 / $654.41	Professional		$654.41	$654.41	$654.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.70 / $345.33 / $629.25	Professional		$251.70	$345.33	$629.25
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $302.04 / $503.40	Professional		$211.43	$302.04	$503.40