Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.48 / $1,002.50 / $2,633.98	Facility		$377.48	$1,002.50	$2,633.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.98 / $377.48 / $782.37	Professional		$337.98	$377.48	$782.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,656.01 / $2,342.32 / $5,806.49	Facility		$1,656.01	$2,342.32	$5,806.49
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 $427.95 / $1,796.00 / $6,002.45	Facility		$427.95	$1,796.00	$6,002.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.41 / $1,498.36 / $2,000.82	Professional		$419.41	$1,498.36	$2,000.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.16 / $1,760.33 / $2,484.02	Professional		$1,127.16	$1,760.33	$2,484.02
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 $241.41 / $1,303.95 / $1,916.81	Professional		$241.41	$1,303.95	$1,916.81
United Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $298.04 / $790.07	Professional		$184.35	$298.04	$790.07