Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $371.54 / $933.25	Facility		$295.12	$371.54	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $12,882.50	Facility		$9,549.93	$10,715.19	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,848.93 / $30,199.52	Facility		$7,585.78	$15,848.93	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $478.63	Professional		$208.93	$302.00	$478.63
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 $275.42 / $275.42 / $288.40	Professional		$275.42	$275.42	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $19,952.62	Facility		$6,309.57	$6,309.57	$19,952.62