Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.10 / $1,182.00 / $1,728.66	Facility		$543.10	$1,182.00	$1,728.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $543.10 / $569.60	Professional		$496.74	$543.10	$569.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.91 / $927.24 / $1,172.30	Facility		$774.91	$927.24	$1,172.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.01 / $1,584.28 / $3,049.62	Facility		$868.01	$1,584.28	$3,049.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.78 / $806.83 / $966.67	Professional		$794.78	$806.83	$966.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.09 / $894.13 / $1,390.87	Professional		$596.09	$894.13	$1,390.87
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 $861.02 / $861.02 / $861.02	Professional		$861.02	$861.02	$861.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $973.61	Professional		$30.00	$30.00	$973.61
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $397.39 / $682.19	Professional		$278.17	$397.39	$682.19