Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.90 / $1,272.00 / $2,074.94	Facility		$651.90	$1,272.00	$2,074.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $651.90 / $715.50	Professional		$596.25	$651.90	$715.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.15 / $1,113.00 / $1,407.15	Facility		$930.15	$1,113.00	$1,407.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $892.95 / $1,901.64 / $3,660.14	Facility		$892.95	$1,901.64	$3,660.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $968.37 / $1,160.22	Professional		$954.00	$968.37	$1,160.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,113.00 / $1,669.50	Professional		$795.00	$1,113.00	$1,669.50
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 $1,033.50 / $1,033.50 / $1,033.50	Professional		$1,033.50	$1,033.50	$1,033.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,081.20 / $1,081.20 / $1,168.65	Professional		$1,081.20	$1,081.20	$1,168.65
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $795.00	Professional		$333.90	$477.00	$795.00