Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $1,258.93	Facility		$416.87	$794.33	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $489.78 / $660.69	Facility		$19.05	$489.78	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $354.81 / $416.87	Professional		$3.47	$354.81	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $776.25 / $1,905.46	Facility		$269.15	$776.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $602.56	Professional		$416.87	$501.19	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $776.25	Professional		$331.13	$562.34	$776.25
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 $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $831.76	Facility		$416.87	$416.87	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $416.87	Professional		$181.97	$239.88	$416.87