Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.94 / $1,400.77 / $1,400.77	Facility		$320.94	$1,400.77	$1,400.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.30 / $1,272.30 / $1,645.29	Professional		$441.30	$1,272.30	$1,645.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.89 / $1,088.66 / $3,117.28	Facility		$591.89	$1,088.66	$3,117.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $219.66 / $566.19	Professional		$69.58	$219.66	$566.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.25 / $668.74 / $1,879.34	Facility		$364.25	$668.74	$1,879.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.55 / $349.00 / $540.89	Professional		$217.55	$349.00	$540.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.83 / $504.26 / $1,137.83	Professional		$338.83	$504.26	$1,137.83
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 $345.48 / $351.36 / $435.02	Professional		$345.48	$351.36	$435.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.76 / $2,500.00	Professional		$32.34	$52.76	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.56 / $1,690.80 / $3,011.66	Professional		$301.56	$1,690.80	$3,011.66