Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $770.84 / $1,087.80	Facility		$416.78	$770.84	$1,087.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $539.22	Professional		$416.78	$416.78	$539.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $416.78 / $416.78	Facility		$66.78	$416.78	$416.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $395.94 / $416.78	Professional		$3.50	$395.94	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.21 / $996.95 / $1,917.92	Facility		$546.21	$996.95	$1,917.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $507.69 / $608.27	Professional		$416.78	$507.69	$608.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $583.49 / $875.24	Professional		$416.78	$583.49	$875.24
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 $541.80 / $541.80 / $541.80	Professional		$541.80	$541.80	$541.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $612.66	Professional		$30.00	$30.00	$612.66
United Facility/Professional Professional Modifier Low / Median / High Price $181.90 / $248.90 / $416.83	Professional		$181.90	$248.90	$416.83