Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.27 / $1,483.35 / $2,981.73	Facility		$874.27	$1,483.35	$2,981.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.55 / $840.50 / $1,381.53	Professional		$709.55	$840.50	$1,381.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.98 / $1,797.50 / $15,138.27	Facility		$238.98	$1,797.50	$15,138.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.91 / $1,696.86 / $4,654.31	Facility		$630.91	$1,696.86	$4,654.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.78 / $1,292.08 / $1,787.81	Professional		$787.78	$1,292.08	$1,787.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $971.48 / $1,565.13 / $3,419.04	Professional		$971.48	$1,565.13	$3,419.04
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 $1,142.92 / $1,175.33 / $1,292.08	Professional		$1,142.92	$1,175.33	$1,292.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,461.05	Professional		$32.34	$32.34	$1,461.05
United Facility/Professional Facility Modifier Low / Median / High Price $795.46 / $1,244.50 / $1,850.61	Facility		$795.46	$1,244.50	$1,850.61
United Facility/Professional Professional Modifier Low / Median / High Price $852.12 / $1,086.50 / $1,762.00	Professional		$852.12	$1,086.50	$1,762.00