Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $1,200.00 / $1,957.50	Facility		$615.00	$1,200.00	$1,957.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $615.00 / $645.00	Professional		$577.50	$615.00	$645.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.50 / $1,050.00 / $1,327.50	Facility		$877.50	$1,050.00	$1,327.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,033.01 / $2,729.36 / $3,453.16	Facility		$1,033.01	$2,729.36	$3,453.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $913.97 / $1,142.46	Professional		$825.00	$913.97	$1,142.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,012.50 / $1,342.54	Professional		$345.40	$1,012.50	$1,342.54
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 $975.00 / $975.00 / $975.00	Professional		$975.00	$975.00	$975.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $937.50	Professional		$30.00	$30.00	$937.50
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $750.00	Professional		$315.00	$450.00	$750.00