Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.96 / $1,731.60 / $2,190.23	Facility		$804.96	$1,731.60	$2,190.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.72 / $767.52 / $1,189.66	Professional		$720.72	$767.52	$1,189.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.59 / $4,045.86 / $12,381.96	Facility		$1,263.59	$4,045.86	$12,381.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $720.72 / $720.72	Professional		$4.50	$720.72	$720.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.46 / $2,326.08 / $4,309.37	Facility		$1,051.46	$2,326.08	$4,309.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.82 / $1,086.61 / $1,580.10	Professional		$456.82	$1,086.61	$1,580.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,310.40 / $1,965.60	Professional		$936.00	$1,310.40	$1,965.60
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 $1,216.80 / $1,216.80 / $1,216.80	Professional		$1,216.80	$1,216.80	$1,216.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $1,170.00 / $1,375.92	Professional		$468.00	$1,170.00	$1,375.92
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $561.60 / $936.00	Professional		$393.12	$561.60	$936.00