Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.07 / $934.77 / $1,524.84	Facility		$479.07	$934.77	$1,524.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.86 / $479.07 / $742.56	Professional		$449.86	$479.07	$742.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.18 / $2,456.23 / $8,515.84	Facility		$771.18	$2,456.23	$8,515.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $403.12 / $449.86	Professional		$3.50	$403.12	$449.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.69 / $1,427.66 / $2,689.26	Facility		$804.69	$1,427.66	$2,689.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.85 / $648.70 / $986.06	Professional		$262.85	$648.70	$986.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $817.92 / $1,144.99	Professional		$595.91	$817.92	$1,144.99
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 $759.50 / $759.50 / $759.50	Professional		$759.50	$759.50	$759.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.55 / $794.55 / $876.35	Professional		$794.55	$794.55	$876.35
United Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $350.54 / $584.23	Professional		$245.38	$350.54	$584.23