Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $1,214.48 / $1,981.12	Facility		$622.41	$1,214.48	$1,981.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $622.41 / $721.10	Professional		$569.29	$622.41	$721.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.08 / $1,062.67 / $1,343.51	Facility		$888.08	$1,062.67	$1,343.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $1,153.76	Professional		$759.05	$759.05	$1,153.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.47 / $1,854.94 / $3,494.85	Facility		$1,045.47	$1,854.94	$3,494.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $924.59 / $1,107.77	Professional		$910.86	$924.59	$1,107.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $1,062.67 / $1,594.01	Professional		$759.05	$1,062.67	$1,594.01
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 $1,032.31 / $1,032.31 / $1,138.58	Professional		$1,032.31	$1,032.31	$1,138.58
United Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Facility		$759.05	$759.05	$759.05
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $796.75	Professional		$318.80	$455.43	$796.75