Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.20 / $1,216.00 / $1,983.60	Facility		$623.20	$1,216.00	$1,983.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $623.20 / $684.00	Professional		$570.00	$623.20	$684.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $889.20 / $1,064.00 / $1,345.20	Facility		$889.20	$1,064.00	$1,345.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.40 / $585.20 / $585.20	Professional		$524.40	$585.20	$585.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.60 / $1,817.92 / $3,499.32	Facility		$853.60	$1,817.92	$3,499.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.71 / $912.00 / $1,007.27	Professional		$840.71	$912.00	$1,007.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $1,026.00 / $1,596.00	Professional		$684.00	$1,026.00	$1,596.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,033.59 / $1,033.59 / $1,140.00	Professional		$1,033.59	$1,033.59	$1,140.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $760.00	Professional		$319.20	$456.00	$760.00