Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $960.00 / $1,566.00	Facility		$492.00	$960.00	$1,566.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $492.00 / $570.00	Professional		$462.00	$492.00	$570.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $840.00 / $1,062.00	Facility		$702.00	$840.00	$1,062.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $912.00	Professional		$600.00	$600.00	$912.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $1,272.18 / $2,762.23	Facility		$390.00	$1,272.18	$2,762.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $731.09 / $875.93	Professional		$720.00	$731.09	$875.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $840.00 / $1,260.00	Professional		$600.00	$840.00	$1,260.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $900.00	Professional		$816.00	$816.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $301.35	Professional		$126.57	$180.81	$301.35