Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $269.20 / $1,162.72	Facility		$140.52	$269.20	$1,162.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $494.41 / $1,012.28	Professional		$129.84	$494.41	$1,012.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.35 / $1,533.00 / $3,155.83	Facility		$501.35	$1,533.00	$3,155.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $517.46 / $1,524.97	Professional		$170.64	$517.46	$1,524.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $490.15 / $1,184.17	Facility		$216.13	$490.15	$1,184.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $424.33 / $1,332.43	Professional		$146.30	$424.33	$1,332.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $896.28 / $1,249.80	Professional		$169.13	$896.28	$1,249.80
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 $162.86 / $166.13 / $926.29	Professional		$162.86	$166.13	$926.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,047.42	Professional		$32.34	$32.34	$1,047.42
United Facility/Professional Professional Modifier Low / Median / High Price $546.54 / $956.45 / $1,611.75	Professional		$546.54	$956.45	$1,611.75