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 $450.00 / $492.00 / $762.60	Professional		$450.00	$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 $761.10 / $1,334.47 / $2,762.23	Facility		$761.10	$1,334.47	$2,762.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $731.09 / $1,012.82	Professional		$292.83	$731.09	$1,012.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $893.76 / $1,264.35	Professional		$612.00	$893.76	$1,264.35
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 $44.25 / $816.00 / $900.00	Professional		$44.25	$816.00	$900.00
United Facility/Professional Facility Modifier Low / Median / High Price $253.68 / $1,200.00 / $1,200.00	Facility		$253.68	$1,200.00	$1,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $600.70	Professional		$252.00	$360.00	$600.70