Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.80 / $721.60 / $1,029.59	Facility		$360.80	$721.60	$1,029.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $360.80 / $559.24	Professional		$301.70	$360.80	$559.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $1,893.89 / $5,820.58	Facility		$594.00	$1,893.89	$5,820.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $303.60 / $338.80	Professional		$3.50	$303.60	$338.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $978.17 / $2,025.14	Facility		$286.00	$978.17	$2,025.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $528.00 / $742.55	Professional		$198.09	$528.00	$742.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $616.00 / $924.00	Professional		$440.00	$616.00	$924.00
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 $572.00 / $572.00 / $572.00	Professional		$572.00	$572.00	$572.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $598.40 / $660.00	Professional		$154.29	$598.40	$660.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $184.80 / $359.04	Professional		$97.19	$184.80	$359.04