Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $1,404.24 / $1,867.26	Facility		$622.41	$1,404.24	$1,867.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $622.41 / $964.75	Professional		$455.43	$622.41	$964.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.71 / $3,280.97 / $10,041.19	Facility		$1,024.71	$3,280.97	$10,041.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $523.74 / $584.47	Professional		$3.50	$523.74	$584.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.41 / $2,249.42 / $3,494.85	Facility		$1,407.41	$2,249.42	$3,494.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.46 / $872.26 / $1,281.44	Professional		$359.46	$872.26	$1,281.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $774.23 / $1,214.48 / $1,992.25	Professional		$774.23	$1,214.48	$1,992.25
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 $986.77 / $986.77 / $986.77	Professional		$986.77	$986.77	$986.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $759.05 / $1,115.80	Professional		$379.53	$759.05	$1,115.80
United Facility/Professional Facility Modifier Low / Median / High Price $336.98 / $1,518.10 / $1,518.10	Facility		$336.98	$1,518.10	$1,518.10
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $796.75	Professional		$318.80	$455.43	$796.75