Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.27 / $1,230.02 / $2,411.37	Facility		$727.27	$1,230.02	$2,411.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.94 / $727.27 / $1,230.02	Professional		$557.94	$727.27	$1,230.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.89 / $1,345.22 / $6,368.33	Facility		$462.89	$1,345.22	$6,368.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $1,071.39 / $1,808.00	Professional		$581.16	$1,071.39	$1,808.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.70 / $841.37 / $2,715.12	Facility		$454.70	$841.37	$2,715.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.36 / $1,013.43 / $1,537.15	Professional		$654.36	$1,013.43	$1,537.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $793.55 / $1,205.69 / $2,862.75	Professional		$793.55	$1,205.69	$2,862.75
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 $959.82 / $965.24 / $1,044.93	Professional		$959.82	$965.24	$1,044.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $461.57 / $1,093.15	Professional		$32.34	$461.57	$1,093.15
United Facility/Professional Professional Modifier Low / Median / High Price $711.03 / $904.99 / $1,545.11	Professional		$711.03	$904.99	$1,545.11