Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.63 / $587.63 / $4,820.00	Facility		$587.63	$587.63	$4,820.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $587.63 / $634.29	Professional		$587.63	$587.63	$634.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.41 / $1,528.52 / $11,064.67	Facility		$613.41	$1,528.52	$11,064.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.80 / $988.80 / $988.80	Professional		$988.80	$988.80	$988.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,488.35 / $1,760.79	Professional		$345.40	$1,488.35	$1,760.79
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $612.11 / $612.11 / $650.66	Professional		$612.11	$612.11	$650.66