Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.46 / $656.12 / $1,751.40	Facility		$232.46	$656.12	$1,751.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $688.93	Professional		$656.12	$656.12	$688.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.39 / $782.26 / $3,527.39	Facility		$494.39	$782.26	$3,527.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.20 / $1,166.20 / $1,166.20	Professional		$1,166.20	$1,166.20	$1,166.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Facility		$656.12	$656.12	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $866.58	Professional		$656.12	$656.12	$866.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.70 / $754.54 / $1,246.63	Professional		$557.70	$754.54	$1,246.63
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 $852.96 / $852.96 / $852.96	Professional		$852.96	$852.96	$852.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $1,514.31	Professional		$30.00	$40.00	$1,514.31
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $719.33	Professional		$656.12	$656.12	$719.33