Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $1,180.80 / $1,879.20	Facility		$738.00	$1,180.80	$1,879.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.40 / $554.40 / $1,008.00	Professional		$473.40	$554.40	$1,008.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.40 / $1,008.00 / $1,274.40	Facility		$842.40	$1,008.00	$1,274.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $991.69 / $2,620.90 / $3,314.67	Facility		$991.69	$2,620.90	$3,314.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $877.63 / $1,097.04	Professional		$792.00	$877.63	$1,097.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $972.00 / $1,288.83	Professional		$345.40	$972.00	$1,288.83
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 $936.00 / $936.00 / $936.00	Professional		$936.00	$936.00	$936.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $493.92	Professional		$30.00	$30.00	$493.92
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $864.00 / $864.00	Facility		$864.00	$864.00	$864.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $741.60	Professional		$302.39	$432.00	$741.60