Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.71 / $916.62 / $3,217.50	Facility		$476.71	$916.62	$3,217.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $461.89 / $539.73	Professional		$396.25	$461.89	$539.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.48 / $3,671.48 / $8,540.95	Facility		$428.48	$3,671.48	$8,540.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.08 / $503.56 / $575.50	Professional		$494.08	$503.56	$575.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.02 / $538.35 / $869.17	Facility		$401.02	$538.35	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.79 / $678.31 / $963.36	Professional		$488.79	$678.31	$963.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $445.56 / $671.41 / $2,478.39	Professional		$445.56	$671.41	$2,478.39
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 $535.25 / $551.64 / $623.45	Professional		$535.25	$551.64	$623.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.27 / $524.47 / $802.67	Professional		$337.27	$524.47	$802.67