Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.42 / $1,257.20 / $1,590.19	Facility		$584.42	$1,257.20	$1,590.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $557.25 / $863.74	Professional		$407.74	$557.25	$863.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $917.41 / $2,937.43 / $8,989.77	Facility		$917.41	$2,937.43	$8,989.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $468.90 / $523.27	Professional		$3.50	$468.90	$523.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.13 / $1,688.22 / $3,128.54	Facility		$763.13	$1,688.22	$3,128.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.79 / $828.07 / $1,147.13	Professional		$354.79	$828.07	$1,147.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $1,087.31 / $2,481.94	Professional		$679.57	$1,087.31	$2,481.94
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 $883.44 / $883.44 / $883.44	Professional		$883.44	$883.44	$883.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $339.79 / $849.46 / $998.97	Professional		$339.79	$849.46	$998.97
United Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $407.74 / $679.57	Professional		$285.42	$407.74	$679.57