Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.71 / $1,028.44 / $1,656.93	Facility		$650.71	$1,028.44	$1,656.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.41 / $520.57 / $571.36	Professional		$417.41	$520.57	$571.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.76 / $888.77 / $1,123.66	Facility		$742.76	$888.77	$1,123.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.11 / $1,518.55 / $2,923.05	Facility		$713.11	$1,518.55	$2,923.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.81 / $773.56 / $926.81	Professional		$761.81	$773.56	$926.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $888.78 / $1,333.16	Professional		$634.84	$888.78	$1,333.16
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 $825.29 / $825.29 / $825.29	Professional		$825.29	$825.29	$825.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $863.38 / $863.38 / $952.26	Professional		$863.38	$863.38	$952.26
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $380.90 / $634.84	Professional		$266.63	$380.90	$634.84