Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.70 / $791.63 / $1,342.34	Facility		$400.70	$791.63	$1,342.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.15 / $415.36 / $692.10	Professional		$381.15	$415.36	$692.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.46 / $2,607.66 / $6,464.31	Facility		$669.46	$2,607.66	$6,464.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $337.18 / $376.27	Professional		$3.50	$337.18	$376.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.85 / $1,193.99 / $2,249.98	Facility		$619.85	$1,193.99	$2,249.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $595.38 / $934.99	Professional		$250.00	$595.38	$934.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $498.43 / $781.86 / $1,244.13	Professional		$498.43	$781.86	$1,244.13
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 $635.26 / $635.26 / $635.26	Professional		$635.26	$635.26	$635.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $513.09 / $664.58 / $732.99	Professional		$513.09	$664.58	$732.99
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $366.10 / $682.72	Professional		$205.24	$366.10	$682.72