Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.20 / $1,106.13 / $1,399.11	Facility		$514.20	$1,106.13	$1,399.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $490.29 / $759.95	Professional		$358.74	$490.29	$759.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $807.17 / $2,573.58 / $7,909.50	Facility		$807.17	$2,573.58	$7,909.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $412.56 / $460.39	Professional		$3.50	$412.56	$460.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.96 / $1,461.78 / $2,751.80	Facility		$582.96	$1,461.78	$2,751.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.21 / $728.03 / $917.27	Professional		$489.21	$728.03	$917.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $956.66 / $6,827.57	Professional		$597.91	$956.66	$6,827.57
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 $777.28 / $777.28 / $777.28	Professional		$777.28	$777.28	$777.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $410.17 / $878.93	Professional		$298.95	$410.17	$878.93
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $358.75 / $602.10	Professional		$251.12	$358.75	$602.10