Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.58 / $1,413.73 / $2,067.56	Facility		$649.58	$1,413.73	$2,067.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.85 / $649.58 / $681.27	Professional		$520.85	$649.58	$681.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.83 / $1,109.03 / $1,402.14	Facility		$926.83	$1,109.03	$1,402.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $792.17 / $792.17	Professional		$792.17	$792.17	$792.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,477.79 / $2,883.11 / $3,646.74	Facility		$1,477.79	$2,883.11	$3,646.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.13 / $919.35 / $1,137.82	Professional		$792.13	$919.35	$1,137.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,029.82 / $1,386.30	Professional		$345.40	$1,029.82	$1,386.30
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 $1,029.82 / $1,029.82 / $1,029.82	Professional		$1,029.82	$1,029.82	$1,029.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $990.21	Professional		$30.00	$30.00	$990.21
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $475.30 / $792.17	Professional		$332.71	$475.30	$792.17