Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.33 / $1,345.04 / $2,194.10	Facility		$689.33	$1,345.04	$2,194.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.73 / $689.33 / $722.96	Professional		$552.73	$689.33	$722.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $983.56 / $1,176.91 / $1,487.95	Facility		$983.56	$1,176.91	$1,487.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $840.65 / $840.65	Professional		$840.65	$840.65	$840.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.85 / $3,059.50 / $3,870.10	Facility		$1,157.85	$3,059.50	$3,870.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,024.65 / $1,280.81	Professional		$966.01	$1,024.65	$1,280.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,134.88 / $1,504.80	Professional		$345.40	$1,134.88	$1,504.80
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 $1,092.84 / $1,092.84 / $1,092.84	Professional		$1,092.84	$1,092.84	$1,092.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.33 / $576.69 / $840.65	Professional		$420.33	$576.69	$840.65
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $504.39 / $840.65	Professional		$353.07	$504.39	$840.65