Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.47 / $348.47 / $2,820.30	Facility		$348.47	$348.47	$2,820.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.33 / $348.47 / $542.39	Professional		$272.33	$348.47	$542.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.90 / $1,371.90 / $5,833.60	Facility		$810.90	$1,371.90	$5,833.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.99 / $515.27 / $515.27	Professional		$436.99	$515.27	$515.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $742.04	Facility		$419.48	$419.48	$742.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $419.48 / $786.00	Professional		$306.22	$419.48	$786.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $576.29 / $745.79 / $955.01	Professional		$576.29	$745.79	$955.01
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 $881.39 / $881.39 / $881.39	Professional		$881.39	$881.39	$881.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $382.73 / $546.77 / $574.10	Professional		$382.73	$546.77	$574.10
United Facility/Professional Professional Modifier Low / Median / High Price $251.79 / $338.24 / $598.92	Professional		$251.79	$338.24	$598.92