Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.83 / $1,107.66 / $1,580.44	Facility		$553.83	$1,107.66	$1,580.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $574.09 / $810.48	Professional		$520.05	$574.09	$810.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $911.79 / $2,860.33 / $8,934.62	Facility		$911.79	$2,860.33	$8,934.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $466.03 / $520.05	Professional		$3.50	$466.03	$520.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.07 / $1,501.36 / $3,109.18	Facility		$857.07	$1,501.36	$3,109.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.65 / $822.59 / $1,140.03	Professional		$329.65	$822.59	$1,140.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $688.91 / $1,080.64 / $1,633.60	Professional		$688.91	$1,080.64	$1,633.60
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 $878.02 / $878.02 / $878.02	Professional		$878.02	$878.02	$878.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $918.54 / $1,013.10	Professional		$22.99	$918.54	$1,013.10
United Facility/Professional Professional Modifier Low / Median / High Price $283.67 / $387.74 / $675.40	Professional		$283.67	$387.74	$675.40