Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.46 / $1,211.65 / $2,014.86	Facility		$645.46	$1,211.65	$2,014.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.42 / $655.23 / $1,219.53	Professional		$561.42	$655.23	$1,219.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.40 / $1,829.88 / $9,878.14	Facility		$411.40	$1,829.88	$9,878.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.58 / $1,658.23 / $4,814.89	Facility		$770.58	$1,658.23	$4,814.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.31 / $906.69 / $1,517.46	Professional		$280.31	$906.69	$1,517.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $481.27 / $974.58 / $3,864.43	Professional		$481.27	$974.58	$3,864.43
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 $782.07 / $812.77 / $873.11	Professional		$782.07	$812.77	$873.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $102.55 / $913.40	Professional		$32.34	$102.55	$913.40
United Facility/Professional Professional Modifier Low / Median / High Price $492.17 / $805.54 / $1,638.81	Professional		$492.17	$805.54	$1,638.81