Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $984.00 / $1,404.00	Facility		$492.00	$984.00	$1,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.65 / $492.00 / $762.60	Professional		$374.65	$492.00	$762.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $2,582.58 / $7,937.16	Facility		$810.00	$2,582.58	$7,937.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $414.00 / $462.00	Professional		$3.50	$414.00	$462.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.41 / $1,466.90 / $2,762.23	Facility		$826.41	$1,466.90	$2,762.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $667.11 / $1,012.82	Professional		$270.31	$667.11	$1,012.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $568.25 / $810.00 / $1,260.00	Professional		$568.25	$810.00	$1,260.00
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 $780.00 / $780.00 / $780.00	Professional		$780.00	$780.00	$780.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $900.00	Professional		$816.00	$816.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $600.70	Professional		$252.00	$360.00	$600.70