Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.60 / $552.60 / $1,764.36	Facility		$552.60	$552.60	$1,764.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.88 / $560.10 / $918.89	Professional		$431.88	$560.10	$918.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,284.72 / $2,173.52 / $9,250.65	Facility		$1,284.72	$2,173.52	$9,250.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.96 / $817.11 / $817.11	Professional		$692.96	$817.11	$817.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $1,176.91	Facility		$731.38	$731.38	$1,176.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $731.38 / $1,246.50	Professional		$533.91	$731.38	$1,246.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $913.87 / $1,182.65 / $1,423.43	Professional		$913.87	$1,182.65	$1,423.43
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 $1,397.68 / $1,397.68 / $1,397.68	Professional		$1,397.68	$1,397.68	$1,397.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $567.24 / $810.35 / $850.86	Professional		$567.24	$810.35	$850.86
United Facility/Professional Professional Modifier Low / Median / High Price $399.31 / $536.38 / $1,197.93	Professional		$399.31	$536.38	$1,197.93