Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,235.94 / $9,772.37	Facility		$831.76	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,258.93	Professional		$616.60	$794.33	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,454.71	Professional		$1,819.70	$1,819.70	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,096.48 / $1,862.09	Professional		$562.34	$1,096.48	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $5,011.87 / $8,912.51	Professional		$1,548.82	$5,011.87	$8,912.51
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 $1,778.28 / $1,819.70 / $2,041.74	Professional		$1,778.28	$1,819.70	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,137.96 / $2,344.23	Professional		$616.60	$2,137.96	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,513.56 / $2,511.89	Professional		$645.65	$1,513.56	$2,511.89