Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.83 / $1,202.48 / $1,937.32	Facility		$760.83	$1,202.48	$1,937.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.04 / $608.66 / $668.04	Professional		$488.04	$608.66	$668.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.45 / $1,039.17 / $1,313.81	Facility		$868.45	$1,039.17	$1,313.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $1,128.25	Professional		$742.27	$742.27	$1,128.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.74 / $1,775.53 / $3,417.42	Facility		$833.74	$1,775.53	$3,417.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.72 / $904.45 / $1,083.64	Professional		$890.72	$904.45	$1,083.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $1,039.18 / $1,558.77	Professional		$742.27	$1,039.18	$1,558.77
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 $1,009.49 / $1,009.49 / $1,091.14	Professional		$1,009.49	$1,009.49	$1,091.14
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $445.36 / $742.27	Professional		$311.75	$445.36	$742.27