Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $721.46 / $1,176.88	Facility		$369.75	$721.46	$1,176.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.20 / $369.75 / $428.36	Professional		$347.20	$369.75	$428.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.55 / $631.27 / $798.11	Facility		$527.55	$631.27	$798.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $450.91 / $685.38	Professional		$450.91	$450.91	$685.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.53 / $987.14 / $2,075.77	Facility		$571.53	$987.14	$2,075.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.09 / $549.41 / $658.26	Professional		$541.09	$549.41	$658.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $631.27 / $946.91	Professional		$450.91	$631.27	$946.91
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 $613.24 / $613.24 / $676.37	Professional		$613.24	$613.24	$676.37
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $451.59	Professional		$189.38	$270.55	$451.59