Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.00 / $1,520.00 / $2,479.50	Facility		$779.00	$1,520.00	$2,479.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $779.00 / $855.00	Professional		$712.50	$779.00	$855.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.50 / $1,330.00 / $1,681.50	Facility		$1,111.50	$1,330.00	$1,681.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.48 / $2,322.30 / $4,373.39	Facility		$1,308.48	$2,322.30	$4,373.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,157.05 / $1,386.28	Professional		$1,140.00	$1,157.05	$1,386.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,330.00 / $1,995.00	Professional		$950.00	$1,330.00	$1,995.00
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 $1,235.00 / $1,235.00 / $1,235.00	Professional		$1,235.00	$1,235.00	$1,235.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,292.00 / $1,292.00 / $1,425.00	Professional		$1,292.00	$1,292.00	$1,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $950.00	Professional		$399.00	$570.00	$950.00