Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.23 / $675.74 / $1,304.16	Facility		$343.23	$675.74	$1,304.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $313.68 / $481.16	Professional		$312.02	$313.68	$481.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.80 / $1,154.03 / $5,774.83	Facility		$396.80	$1,154.03	$5,774.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.40 / $459.40 / $459.40	Professional		$459.40	$459.40	$459.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Facility		$486.76	$486.76	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $409.37 / $609.24	Professional		$232.34	$409.37	$609.24
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 $407.78 / $407.78 / $407.78	Professional		$407.78	$407.78	$407.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.01 / $306.01 / $333.55	Professional		$306.01	$306.01	$333.55
United Facility/Professional Facility Modifier Low / Median / High Price $355.71 / $355.71 / $355.71	Facility		$355.71	$355.71	$355.71
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $408.73 / $529.09	Professional		$340.89	$408.73	$529.09