Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.32 / $1,026.96 / $1,675.23	Facility		$526.32	$1,026.96	$1,675.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.02 / $526.32 / $815.80	Professional		$422.02	$526.32	$815.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.24 / $2,698.44 / $9,355.58	Facility		$847.24	$2,698.44	$9,355.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $442.88 / $494.22	Professional		$3.50	$442.88	$494.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $814.28 / $1,568.39 / $2,954.32	Facility		$814.28	$1,568.39	$2,954.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $744.99 / $1,083.25	Professional		$298.20	$744.99	$1,083.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $654.69 / $930.68 / $1,283.70	Professional		$654.69	$930.68	$1,283.70
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 $834.41 / $834.41 / $834.41	Professional		$834.41	$834.41	$834.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $872.92 / $872.92 / $962.78	Professional		$872.92	$872.92	$962.78
United Facility/Professional Facility Modifier Low / Median / High Price $770.22 / $770.22 / $770.22	Facility		$770.22	$770.22	$770.22
United Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $385.11 / $661.11	Professional		$269.58	$385.11	$661.11