Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.18 / $818.36 / $1,167.66	Facility		$409.18	$818.36	$1,167.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $424.15 / $634.23	Professional		$384.23	$424.15	$634.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $673.65 / $2,113.26 / $6,601.07	Facility		$673.65	$2,113.26	$6,601.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $344.31 / $384.23	Professional		$3.50	$344.31	$384.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.24 / $1,109.77 / $2,297.64	Facility		$446.24	$1,109.77	$2,297.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.29 / $689.29 / $842.47	Professional		$255.29	$689.29	$842.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $508.98 / $840.29 / $1,624.10	Professional		$508.98	$840.29	$1,624.10
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 $648.70 / $648.70 / $648.70	Professional		$648.70	$648.70	$648.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $678.64 / $748.50	Professional		$22.99	$678.64	$748.50
United Facility/Professional Facility Modifier Low / Median / High Price $209.58 / $998.00 / $998.00	Facility		$209.58	$998.00	$998.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $299.39 / $499.00	Professional		$209.58	$299.39	$499.00