Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.86 / $1,327.13 / $1,774.56	Facility		$621.86	$1,327.13	$1,774.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.94 / $621.86 / $963.88	Professional		$583.94	$621.86	$963.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.78 / $3,277.98 / $10,032.08	Facility		$1,023.78	$3,277.98	$10,032.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $583.94 / $1,152.71	Professional		$4.50	$583.94	$1,152.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.87 / $1,685.91 / $3,490.38	Facility		$431.87	$1,685.91	$3,490.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.82 / $923.72 / $1,279.81	Professional		$387.82	$923.72	$1,279.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $773.53 / $1,120.50 / $1,592.56	Professional		$773.53	$1,120.50	$1,592.56
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 $985.87 / $985.87 / $985.87	Professional		$985.87	$985.87	$985.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $1,031.36 / $1,137.54	Professional		$44.25	$1,031.36	$1,137.54
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $455.02 / $758.36	Professional		$318.51	$455.02	$758.36