Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.44 / $1,609.00 / $5,545.21	Facility		$464.44	$1,609.00	$5,545.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.29 / $488.15 / $3,736.45	Professional		$234.29	$488.15	$3,736.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $988.20 / $2,150.92 / $4,701.47	Facility		$988.20	$2,150.92	$4,701.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,231.60	Facility		$400.00	$785.00	$1,231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $634.01 / $3,835.20	Professional		$271.83	$634.01	$3,835.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.99 / $3,020.07 / $8,322.98	Professional		$325.99	$3,020.07	$8,322.98
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 $282.14 / $300.33 / $2,886.83	Professional		$282.14	$300.33	$2,886.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,264.34	Professional		$32.34	$32.34	$3,264.34
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.07 / $2,910.45 / $6,080.49	Professional		$588.07	$2,910.45	$6,080.49