Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.00 / $1,520.00 / $2,479.50	Facility		$779.00	$1,520.00	$2,479.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.63 / $779.00 / $817.00	Professional		$624.63	$779.00	$817.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.50 / $1,330.00 / $1,681.50	Facility		$1,111.50	$1,330.00	$1,681.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Professional		$950.00	$950.00	$950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.91 / $2,272.40 / $4,373.39	Facility		$1,066.91	$2,272.40	$4,373.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.00 / $1,157.64 / $1,447.05	Professional		$1,045.00	$1,157.64	$1,447.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,282.50 / $1,700.54	Professional		$345.40	$1,282.50	$1,700.54
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 $475.00 / $651.70 / $1,187.50	Professional		$475.00	$651.70	$1,187.50
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $998.45	Professional		$399.00	$570.00	$998.45