Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.82 / $1,392.05 / $2,633.98	Facility		$556.82	$1,392.05	$2,633.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $782.37 / $1,139.97	Professional		$479.76	$782.37	$1,139.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,721.21 / $3,105.98 / $8,982.90	Facility		$1,721.21	$3,105.98	$8,982.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $899.73 / $1,004.04	Professional		$3.50	$899.73	$1,004.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.50 / $2,516.84 / $6,002.45	Facility		$474.50	$2,516.84	$6,002.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.96 / $1,498.36 / $2,000.82	Professional		$648.96	$1,498.36	$2,000.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $2,086.32 / $4,114.49	Professional		$1,303.95	$2,086.32	$4,114.49
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 $1,695.14 / $1,695.14 / $1,695.14	Professional		$1,695.14	$1,695.14	$1,695.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.48 / $1,303.95 / $1,916.81	Professional		$373.48	$1,303.95	$1,916.81
United Facility/Professional Facility Modifier Low / Median / High Price $391.22 / $1,358.10 / $1,358.10	Facility		$391.22	$1,358.10	$1,358.10
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $441.38 / $931.48	Professional		$285.20	$441.38	$931.48