Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.76 / $748.80 / $1,221.48	Facility		$383.76	$748.80	$1,221.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.36 / $402.48 / $1,500.00	Professional		$360.36	$402.48	$1,500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $1,931.52 / $6,821.61	Facility		$617.76	$1,931.52	$6,821.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $322.92 / $360.36	Professional		$3.50	$322.92	$360.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.60 / $1,143.66 / $2,154.69	Facility		$644.60	$1,143.66	$2,154.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $519.84 / $790.05	Professional		$210.64	$519.84	$790.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $477.36 / $819.00 / $2,966.36	Professional		$477.36	$819.00	$2,966.36
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 $608.40 / $608.40 / $608.40	Professional		$608.40	$608.40	$608.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $636.48 / $636.48 / $702.00	Professional		$636.48	$636.48	$702.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $280.80 / $468.00	Professional		$196.56	$280.80	$468.00