Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.48 / $1,462.40 / $2,385.54	Facility		$749.48	$1,462.40	$2,385.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $749.48 / $1,161.69	Professional		$719.07	$749.48	$1,161.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $1,572.08 / $12,090.94	Facility		$19.95	$1,572.08	$12,090.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $630.66 / $703.78	Professional		$3.50	$630.66	$703.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.46 / $2,270.76 / $4,208.12	Facility		$1,026.46	$2,270.76	$4,208.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.08 / $1,113.85 / $1,542.98	Professional		$477.08	$1,113.85	$1,542.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,462.40 / $4,609.84	Professional		$914.00	$1,462.40	$4,609.84
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 $1,188.20 / $1,188.20 / $1,188.20	Professional		$1,188.20	$1,188.20	$1,188.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $914.00 / $1,343.58	Professional		$457.00	$914.00	$1,343.58
United Facility/Professional Facility Modifier Low / Median / High Price $383.88 / $1,828.00 / $1,828.00	Facility		$383.88	$1,828.00	$1,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $914.00	Professional		$383.88	$548.40	$914.00