Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.32 / $1,182.47 / $1,729.33	Facility		$543.32	$1,182.47	$1,729.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.19 / $543.32 / $569.82	Professional		$510.19	$543.32	$569.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.21 / $927.61 / $1,172.76	Facility		$775.21	$927.61	$1,172.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.05 / $2,412.32 / $3,049.62	Facility		$1,236.05	$2,412.32	$3,049.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $768.77 / $951.45	Professional		$662.45	$768.77	$951.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $695.71 / $1,199.27	Professional		$120.00	$695.71	$1,199.27
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.29 / $454.53 / $828.23	Professional		$331.29	$454.53	$828.23
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $397.55 / $662.58	Professional		$278.27	$397.55	$662.58