Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.40 / $852.80 / $1,216.80	Facility		$426.40	$852.80	$1,216.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $439.19 / $660.92	Professional		$405.60	$439.19	$660.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $2,247.69 / $6,878.87	Facility		$702.00	$2,247.69	$6,878.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.02 / $1,243.83 / $2,394.42	Facility		$584.02	$1,243.83	$2,394.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.05 / $633.47 / $877.96	Professional		$266.05	$633.47	$877.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $530.40 / $834.56 / $1,462.04	Professional		$530.40	$834.56	$1,462.04
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 $676.00 / $676.00 / $676.00	Professional		$676.00	$676.00	$676.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.20 / $707.20 / $780.00	Professional		$707.20	$707.20	$780.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $312.00 / $520.00	Professional		$218.40	$312.00	$520.00