Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.54 / $1,659.45 / $2,098.98	Facility		$735.54	$1,659.45	$2,098.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.69 / $735.54 / $1,231.84	Professional		$690.69	$735.54	$1,231.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $111.68 / $10,889.58	Facility		$38.86	$111.68	$10,889.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $897.00 / $897.00	Professional		$3.50	$897.00	$897.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.77 / $2,145.62 / $4,129.18	Facility		$295.77	$2,145.62	$4,129.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.80 / $1,092.70 / $1,376.40	Professional		$458.80	$1,092.70	$1,376.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,276.34 / $1,883.70	Professional		$897.00	$1,276.34	$1,883.70
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 $1,166.09 / $1,166.09 / $1,166.09	Professional		$1,166.09	$1,166.09	$1,166.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $897.00 / $1,318.59	Professional		$448.50	$897.00	$1,318.59
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $897.00	Professional		$376.74	$538.20	$897.00