Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.62 / $1,335.89 / $1,335.89	Facility		$479.62	$1,335.89	$1,335.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $494.01 / $743.41	Professional		$467.92	$494.01	$743.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $801.31 / $3,121.31 / $7,737.35	Facility		$801.31	$3,121.31	$7,737.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.58 / $450.37 / $450.37	Professional		$403.58	$450.37	$450.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.29 / $1,453.09 / $2,692.24	Facility		$570.29	$1,453.09	$2,692.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.29 / $712.84 / $1,064.93	Professional		$305.29	$712.84	$1,064.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.60 / $1,023.58 / $3,100.24	Professional		$596.60	$1,023.58	$3,100.24
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 $760.37 / $760.37 / $760.37	Professional		$760.37	$760.37	$760.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $731.13 / $859.80	Professional		$292.45	$731.13	$859.80
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $380.19 / $701.88	Professional		$245.66	$380.19	$701.88