Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.70 / $1,470.75 / $1,860.30	Facility		$683.70	$1,470.75	$1,860.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.00 / $683.70 / $1,010.45	Professional		$636.00	$683.70	$1,010.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.25 / $3,421.91 / $10,516.73	Facility		$1,073.25	$3,421.91	$10,516.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $581.54 / $612.15	Professional		$3.50	$581.54	$612.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.53 / $1,975.42 / $3,660.14	Facility		$555.53	$1,975.42	$3,660.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.94 / $922.69 / $1,342.05	Professional		$414.94	$922.69	$1,342.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,113.00 / $1,669.50	Professional		$795.00	$1,113.00	$1,669.50
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 $1,033.50 / $1,033.50 / $1,033.50	Professional		$1,033.50	$1,033.50	$1,033.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $993.75 / $1,168.65	Professional		$397.50	$993.75	$1,168.65
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $795.00	Professional		$333.90	$477.00	$795.00