Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $928.20 / $1,471.49	Facility		$563.79	$928.20	$1,471.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $572.96 / $683.32	Professional		$563.79	$572.96	$683.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.39 / $3,809.44 / $20,710.83	Facility		$1,200.39	$3,809.44	$20,710.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Facility		$572.96	$572.96	$572.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.13 / $575.67 / $836.88	Professional		$411.13	$575.67	$836.88
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 $744.85 / $744.85 / $744.85	Professional		$744.85	$744.85	$744.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $538.34 / $538.34 / $553.28	Professional		$538.34	$538.34	$553.28
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $960.32	Professional		$572.96	$572.96	$960.32