Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $1,594.06 / $2,092.48	Facility		$45.00	$1,594.06	$2,092.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $1,941.94	Professional		$35.00	$45.00	$1,941.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.68 / $1,392.56 / $1,553.24	Professional		$1,183.68	$1,392.56	$1,553.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,575.00 / $2,125.00	Professional		$1,125.00	$1,575.00	$2,125.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $657.56 / $1,392.30 / $2,262.00	Professional		$657.56	$1,392.30	$2,262.00
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 $994.50 / $994.50 / $1,170.00	Professional		$994.50	$994.50	$1,170.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $720.22 / $744.98 / $821.67	Professional		$720.22	$744.98	$821.67
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.00 / $79.16	Professional		$40.00	$58.00	$79.16