Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.99 / $829.25 / $1,352.71	Facility		$424.99	$829.25	$1,352.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.08 / $440.54 / $621.94	Professional		$399.08	$440.54	$621.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.12 / $2,139.06 / $7,554.58	Facility		$684.12	$2,139.06	$7,554.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $357.61 / $399.08	Professional		$3.50	$357.61	$399.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $657.65 / $1,266.46 / $2,385.48	Facility		$657.65	$1,266.46	$2,385.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $601.50 / $874.68	Professional		$240.80	$601.50	$874.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $528.65 / $845.94 / $1,329.93	Professional		$528.65	$845.94	$1,329.93
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 $673.76 / $673.76 / $673.76	Professional		$673.76	$673.76	$673.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $704.86 / $704.86 / $777.42	Professional		$704.86	$704.86	$777.42
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $310.97 / $544.71	Professional		$217.68	$310.97	$544.71