Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,137.96	Facility		$741.31	$1,202.26	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $794.33	Professional		$478.63	$588.84	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $977.24 / $1,174.90	Facility		$870.96	$977.24	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,348.96 / $3,311.31	Facility		$467.74	$1,348.96	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,096.48	Professional		$831.76	$870.96	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $933.25 / $1,288.25	Professional		$346.74	$933.25	$1,288.25
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 $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $1,445.44	Facility		$537.03	$724.44	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $724.44	Professional		$302.00	$436.52	$724.44