Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.62 / $1,335.89 / $1,335.89	Facility		$479.62	$1,335.89	$1,335.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $479.62 / $1,335.89	Professional		$368.49	$479.62	$1,335.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $801.31 / $3,121.31 / $7,737.35	Facility		$801.31	$3,121.31	$7,737.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $403.58 / $450.37	Professional		$3.50	$403.58	$450.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.29 / $1,453.09 / $2,692.24	Facility		$570.29	$1,453.09	$2,692.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.29 / $712.84 / $1,064.93	Professional		$305.29	$712.84	$1,064.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.60 / $1,023.58 / $3,223.54	Professional		$596.60	$1,023.58	$3,223.54
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 $760.37 / $760.37 / $760.37	Professional		$760.37	$760.37	$760.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $584.90 / $859.80	Professional		$292.45	$584.90	$859.80
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $357.44 / $730.12	Professional		$245.66	$357.44	$730.12