Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.01 / $1,137.85 / $1,368.67	Facility		$503.01	$1,137.85	$1,368.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $479.62 / $701.88	Professional		$368.49	$479.62	$701.88
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 $288.83 / $678.67 / $1,064.93	Professional		$288.83	$678.67	$1,064.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.60 / $1,023.58 / $6,450.61	Professional		$596.60	$1,023.58	$6,450.61
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 / $401.24 / $859.80	Professional		$292.45	$401.24	$859.80
United Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $614.15 / $1,444.70	Facility		$584.90	$614.15	$1,444.70
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $372.58 / $701.88	Professional		$245.66	$372.58	$701.88