Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $1,200.00 / $1,957.50	Facility		$615.00	$1,200.00	$1,957.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $615.00 / $675.00	Professional		$562.50	$615.00	$675.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.50 / $1,050.00 / $1,327.50	Facility		$877.50	$1,050.00	$1,327.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $951.38 / $1,832.77 / $3,453.16	Facility		$951.38	$1,832.77	$3,453.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $913.65 / $1,094.65	Professional		$900.00	$913.65	$1,094.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,050.00 / $1,575.00	Professional		$750.00	$1,050.00	$1,575.00
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 $1,020.00 / $1,020.00 / $1,125.00	Professional		$1,020.00	$1,020.00	$1,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $750.00	Professional		$315.00	$450.00	$750.00