Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.07 / $520.07 / $1,710.54	Facility		$520.07	$520.07	$1,710.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.45 / $520.07 / $864.79	Professional		$406.45	$520.07	$864.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,208.40 / $2,044.40 / $8,706.14	Facility		$1,208.40	$2,044.40	$8,706.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.16 / $769.01 / $769.01	Professional		$652.16	$769.01	$769.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $1,107.58	Facility		$710.11	$710.11	$1,107.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $1,243.38	Professional		$518.38	$518.38	$1,243.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $860.07 / $1,177.38 / $1,451.63	Professional		$860.07	$1,177.38	$1,451.63
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 $1,315.41 / $1,315.41 / $1,315.41	Professional		$1,315.41	$1,315.41	$1,315.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $533.85 / $762.65 / $800.78	Professional		$533.85	$762.65	$800.78
United Facility/Professional Professional Modifier Low / Median / High Price $375.81 / $504.80 / $866.58	Professional		$375.81	$504.80	$866.58