Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $457.09 / $1,737.80	Facility		$117.49	$457.09	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $512.86	Professional		$457.09	$457.09	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Facility		$165.96	$208.93	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $549.54	Professional		$457.09	$457.09	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $977.24	Professional		$346.74	$602.56	$977.24
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 $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $831.76	Facility		$501.19	$831.76	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $501.19 / $1,659.59	Professional		$125.89	$501.19	$1,659.59