Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.13 / $1,410.42 / $1,991.57	Facility		$743.13	$1,410.42	$1,991.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.69 / $623.50 / $1,326.75	Professional		$476.69	$623.50	$1,326.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.25 / $1,015.00 / $1,283.25	Facility		$848.25	$1,015.00	$1,283.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.80 / $1,734.20 / $3,337.01	Facility		$919.80	$1,734.20	$3,337.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $883.00 / $1,057.94	Professional		$870.00	$883.00	$1,057.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $1,015.00 / $1,522.50	Professional		$725.00	$1,015.00	$1,522.50
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 $942.50 / $942.50 / $942.50	Professional		$942.50	$942.50	$942.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $986.00	Professional		$30.00	$30.00	$986.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $435.00 / $725.00	Professional		$304.50	$435.00	$725.00