Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.94 / $932.40 / $1,315.44	Facility		$433.94	$932.40	$1,315.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $413.28 / $640.58	Professional		$388.08	$413.28	$640.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.40 / $2,169.36 / $6,667.21	Facility		$680.40	$2,169.36	$6,667.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $347.76 / $388.08	Professional		$3.50	$347.76	$388.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.00 / $1,252.13 / $2,319.96	Facility		$566.00	$1,252.13	$2,319.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.89 / $584.82 / $850.66	Professional		$245.89	$584.82	$850.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $806.40 / $2,809.59	Professional		$504.00	$806.40	$2,809.59
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 $655.20 / $655.20 / $655.20	Professional		$655.20	$655.20	$655.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $630.00 / $740.88	Professional		$252.00	$630.00	$740.88
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $302.39 / $504.00	Professional		$211.68	$302.39	$504.00