Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.09 / $514.60 / $1,130.31	Facility		$147.09	$514.60	$1,130.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $147.09 / $549.01	Professional		$138.46	$147.09	$549.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.20 / $1,064.02 / $7,901.02	Facility		$363.20	$1,064.02	$7,901.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $129.75 / $556.48	Professional		$97.34	$129.75	$556.48
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 $582.89 / $582.89 / $582.89	Professional		$582.89	$582.89	$582.89
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $685.29	Professional		$645.89	$645.89	$685.29