Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.46 / $1,404.78 / $2,054.46	Facility		$645.46	$1,404.78	$2,054.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $645.46 / $669.08	Professional		$517.54	$645.46	$669.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $920.96 / $1,102.01 / $1,393.25	Facility		$920.96	$1,102.01	$1,393.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.74 / $1,882.87 / $3,622.91	Facility		$998.74	$1,882.87	$3,622.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.58 / $958.74 / $1,148.68	Professional		$944.58	$958.74	$1,148.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $1,102.01 / $1,653.02	Professional		$787.15	$1,102.01	$1,653.02
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 $1,023.30 / $1,023.30 / $1,023.30	Professional		$1,023.30	$1,023.30	$1,023.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,157.10	Professional		$30.00	$30.00	$1,157.10
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $472.29 / $787.15	Professional		$330.60	$472.29	$787.15