Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.94 / $1,354.03 / $2,208.76	Facility		$693.94	$1,354.03	$2,208.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $693.94 / $1,075.60	Professional		$592.39	$693.94	$1,075.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.07 / $3,492.73 / $12,335.35	Facility		$1,117.07	$3,492.73	$12,335.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $583.92 / $651.63	Professional		$3.50	$583.92	$651.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.61 / $2,068.16 / $3,895.41	Facility		$1,165.61	$2,068.16	$3,895.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.74 / $939.64 / $1,428.32	Professional		$380.74	$939.64	$1,428.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $863.20 / $1,438.66 / $2,260.00	Professional		$863.20	$1,438.66	$2,260.00
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 $1,100.15 / $1,100.15 / $1,100.15	Professional		$1,100.15	$1,100.15	$1,100.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,150.93 / $1,150.93 / $1,269.41	Professional		$1,150.93	$1,150.93	$1,269.41
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $846.27	Professional		$355.43	$507.76	$846.27