Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,884.03 / $7,762.47	Facility		$891.25	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,258.93	Professional		$478.63	$575.44	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $12,022.64	Facility		$912.01	$1,230.27	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,122.02	Professional		$512.86	$776.25	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $2,691.53	Professional		$588.84	$933.25	$2,691.53
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 $645.65 / $691.83 / $776.25	Professional		$645.65	$691.83	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $3,715.35	Facility		$588.84	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,122.02	Professional		$478.63	$645.65	$1,122.02