Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.39 / $1,483.00 / $1,784.54	Facility		$689.39	$1,483.00	$1,784.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.25 / $657.33 / $1,402.83	Professional		$617.25	$657.33	$1,402.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.85 / $1,290.59 / $7,690.69	Facility		$619.85	$1,290.59	$7,690.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.15 / $1,917.46 / $3,689.92	Facility		$560.15	$1,917.46	$3,689.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.33 / $881.78 / $1,169.66	Professional		$212.33	$881.78	$1,169.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $637.64 / $969.70 / $1,402.84	Professional		$637.64	$969.70	$1,402.84
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 $1,042.10 / $1,042.10 / $1,042.10	Professional		$1,042.10	$1,042.10	$1,042.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $440.89 / $1,002.03	Professional		$169.86	$440.89	$1,002.03
United Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $336.68 / $801.62	Professional		$221.04	$336.68	$801.62