Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.28 / $1,266.04 / $2,014.87	Facility		$791.28	$1,266.04	$2,014.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.58 / $507.58 / $1,080.77	Professional		$507.58	$507.58	$1,080.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $1,080.77 / $1,366.40	Facility		$903.21	$1,080.77	$1,366.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.44 / $1,918.47 / $3,554.41	Facility		$539.44	$1,918.47	$3,554.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.18 / $940.81 / $1,176.01	Professional		$849.18	$940.81	$1,176.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,042.17 / $1,381.88	Professional		$345.40	$1,042.17	$1,381.88
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 $385.99 / $529.58 / $964.98	Professional		$385.99	$529.58	$964.98
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $463.19 / $771.98	Professional		$324.23	$463.19	$771.98