Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.96 / $1,555.20 / $1,967.12	Facility		$722.96	$1,555.20	$1,967.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.38 / $689.33 / $1,068.46	Professional		$504.38	$689.33	$1,068.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.69 / $4,919.47 / $11,120.61	Facility		$1,151.69	$4,919.47	$11,120.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $614.92 / $647.29	Professional		$3.50	$614.92	$647.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,558.59 / $2,491.48 / $3,870.10	Facility		$1,558.59	$2,491.48	$3,870.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.59 / $1,023.97 / $1,290.03	Professional		$642.59	$1,023.97	$1,290.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $1,218.94 / $1,767.87	Professional		$840.65	$1,218.94	$1,767.87
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 $1,092.84 / $1,092.84 / $1,092.84	Professional		$1,092.84	$1,092.84	$1,092.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.33 / $576.69 / $1,235.76	Professional		$420.33	$576.69	$1,235.76
United Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $462.36 / $840.65	Professional		$324.83	$462.36	$840.65