Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.20 / $1,875.49 / $3,126.62	Facility		$951.20	$1,875.49	$3,126.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.20 / $951.20 / $1,474.36	Professional		$893.20	$951.20	$1,474.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,617.21 / $4,876.87 / $15,345.17	Facility		$1,617.21	$4,876.87	$15,345.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $826.58 / $922.41	Professional		$3.50	$826.58	$922.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.02 / $2,865.47 / $5,514.03	Facility		$1,303.02	$2,865.47	$5,514.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.19 / $612.66 / $1,838.01	Professional		$546.19	$612.66	$1,838.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.90 / $1,906.11 / $2,877.46	Professional		$1,221.90	$1,906.11	$2,877.46
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 $1,557.32 / $1,557.32 / $1,557.32	Professional		$1,557.32	$1,557.32	$1,557.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,629.20 / $1,629.20 / $1,796.91	Professional		$1,629.20	$1,629.20	$1,796.91
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,160.00	Professional		$487.20	$696.00	$1,160.00