Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.73 / $1,109.46 / $1,583.01	Facility		$554.73	$1,109.46	$1,583.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $575.03 / $811.80	Professional		$520.91	$575.03	$811.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.27 / $3,056.07 / $8,949.23	Facility		$913.27	$3,056.07	$8,949.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $466.79 / $520.91	Professional		$3.50	$466.79	$520.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.32 / $1,504.57 / $3,113.65	Facility		$858.32	$1,504.57	$3,113.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.30 / $823.90 / $1,141.67	Professional		$350.30	$823.90	$1,141.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $690.03 / $1,082.40 / $1,722.37	Professional		$690.03	$1,082.40	$1,722.37
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 $879.45 / $879.45 / $879.45	Professional		$879.45	$879.45	$879.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $920.04 / $1,014.75	Professional		$44.25	$920.04	$1,014.75
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $429.71 / $711.00	Professional		$284.13	$429.71	$711.00