Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.93 / $1,158.96 / $1,591.82	Facility		$498.93	$1,158.96	$1,591.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.58 / $498.35 / $1,323.55	Professional		$463.58	$498.35	$1,323.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.24 / $1,815.75 / $6,090.63	Facility		$840.24	$1,815.75	$6,090.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $423.89 / $446.20	Professional		$3.50	$423.89	$446.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.69 / $1,416.57 / $2,666.93	Facility		$600.69	$1,416.57	$2,666.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.54 / $706.23 / $956.45	Professional		$375.54	$706.23	$956.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $463.58 / $956.38 / $2,223.31	Professional		$463.58	$956.38	$2,223.31
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 $753.32 / $753.32 / $753.32	Professional		$753.32	$753.32	$753.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $289.74 / $397.52 / $724.35	Professional		$289.74	$397.52	$724.35
United Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $369.13 / $596.86	Professional		$243.38	$369.13	$596.86