Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $1,606.17 / $2,472.30	Facility		$738.00	$1,606.17	$2,472.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $738.00 / $1,143.90	Professional		$336.60	$738.00	$1,143.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $3,811.50 / $11,905.74	Facility		$1,215.00	$3,811.50	$11,905.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $621.00 / $693.00	Professional		$3.50	$621.00	$693.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.87 / $2,001.29 / $4,142.60	Facility		$602.87	$2,001.29	$4,142.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.25 / $1,096.20 / $1,518.95	Professional		$439.25	$1,096.20	$1,518.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $918.00 / $1,469.64 / $2,642.25	Professional		$918.00	$1,469.64	$2,642.25
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 $1,170.00 / $1,170.00 / $1,170.00	Professional		$1,170.00	$1,170.00	$1,170.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $1,224.00 / $1,350.00	Professional		$22.99	$1,224.00	$1,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $540.00 / $900.00	Professional		$378.00	$540.00	$900.00