Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.20 / $1,982.44 / $3,321.95	Facility		$951.20	$1,982.44	$3,321.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.62 / $893.20 / $1,284.11	Professional		$337.62	$893.20	$1,284.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $4,912.60 / $15,345.17	Facility		$1,566.00	$4,912.60	$15,345.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $800.40 / $893.20	Professional		$3.50	$800.40	$893.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $2,579.04 / $5,339.81	Facility		$754.00	$2,579.04	$5,339.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.08 / $1,412.72 / $1,957.93	Professional		$566.08	$1,412.72	$1,957.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.20 / $1,972.00 / $4,916.34	Professional		$1,183.20	$1,972.00	$4,916.34
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 $1,508.00 / $1,508.00 / $1,508.00	Professional		$1,508.00	$1,508.00	$1,508.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $1,577.60 / $1,740.00	Professional		$22.99	$1,577.60	$1,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,160.00	Professional		$487.20	$696.00	$1,160.00