Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.12 / $738.32 / $1,417.00	Facility		$394.12	$738.32	$1,417.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.09 / $394.12 / $682.17	Professional		$345.09	$394.12	$682.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.28 / $1,560.35 / $6,052.78	Facility		$678.28	$1,560.35	$6,052.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $110.20 / $868.52	Professional		$44.61	$110.20	$868.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.82 / $1,186.83 / $3,431.97	Facility		$640.82	$1,186.83	$3,431.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.26 / $535.42 / $915.59	Professional		$301.26	$535.42	$915.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $350.09 / $555.25 / $1,753.87	Professional		$350.09	$555.25	$1,753.87
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 $461.07 / $477.59 / $515.59	Professional		$461.07	$477.59	$515.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.48 / $541.44	Professional		$32.34	$48.48	$541.44
United Facility/Professional Professional Modifier Low / Median / High Price $356.32 / $512.34 / $893.08	Professional		$356.32	$512.34	$893.08