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 / $2,290.87	Facility		$776.25	$1,258.93	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $891.25	Professional		$512.86	$616.60	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,230.27	Facility		$912.01	$1,023.29	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,412.54 / $3,801.89	Facility		$489.78	$1,412.54	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,096.48	Professional		$870.96	$933.25	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,023.29 / $1,412.54	Professional		$346.74	$1,023.29	$1,412.54
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 $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 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,513.56	Facility		$758.58	$758.58	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $758.58	Professional		$316.23	$457.09	$758.58