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 $499.70 / $623.20 / $653.60	Professional		$499.70	$623.20	$653.60
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
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 $836.00 / $926.36 / $1,157.95	Professional		$836.00	$926.36	$1,157.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,026.00 / $1,360.44	Professional		$345.40	$1,026.00	$1,360.44
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 $380.00 / $521.36 / $950.00	Professional		$380.00	$521.36	$950.00
United Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $798.00 / $1,877.20	Facility		$760.00	$798.00	$1,877.20
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $760.00	Professional		$319.20	$456.00	$760.00