Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,238.72	Facility		$776.25	$1,258.93	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $870.96	Professional		$501.19	$630.96	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,230.27	Facility		$891.25	$1,023.29	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,412.54 / $3,467.37	Facility		$489.78	$1,412.54	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $1,148.15	Professional		$870.96	$912.01	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $977.24 / $1,348.96	Professional		$346.74	$977.24	$1,348.96
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 $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
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 $562.34 / $758.58 / $1,513.56	Facility		$562.34	$758.58	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $758.58	Professional		$316.23	$446.68	$758.58