Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.80 / $1,405.13 / $4,304.16	Facility		$622.80	$1,405.13	$4,304.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $622.80 / $965.36	Professional		$455.72	$622.80	$965.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,025.35 / $3,283.03 / $10,047.54	Facility		$1,025.35	$3,283.03	$10,047.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $524.08 / $584.84	Professional		$3.50	$524.08	$584.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.25 / $1,816.78 / $3,496.34	Facility		$535.25	$1,816.78	$3,496.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.69 / $911.44 / $1,250.00	Professional		$370.69	$911.44	$1,250.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $1,215.25 / $3,140.75	Professional		$759.53	$1,215.25	$3,140.75
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 $987.39 / $987.39 / $987.39	Professional		$987.39	$987.39	$987.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.77 / $949.41 / $1,116.51	Professional		$379.77	$949.41	$1,116.51
United Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $455.72 / $759.53	Professional		$49.62	$455.72	$759.53