Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.71 / $721.92 / $1,111.23	Facility		$331.71	$721.92	$1,111.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.48 / $331.71 / $514.15	Professional		$311.48	$331.71	$514.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.10 / $1,741.17 / $5,351.22	Facility		$546.10	$1,741.17	$5,351.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $279.12 / $311.48	Professional		$3.50	$279.12	$311.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.09 / $899.53 / $1,862.83	Facility		$510.09	$899.53	$1,862.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $491.90 / $683.04	Professional		$197.42	$491.90	$683.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $412.61 / $632.48 / $954.80	Professional		$412.61	$632.48	$954.80
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 $525.88 / $525.88 / $525.88	Professional		$525.88	$525.88	$525.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $550.15 / $606.78	Professional		$37.74	$550.15	$606.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $234.62 / $404.52	Professional		$169.90	$234.62	$404.52