Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.20 / $1,246.40 / $1,778.40	Facility		$623.20	$1,246.40	$1,778.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.20 / $623.20 / $965.96	Professional		$585.20	$623.20	$965.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $3,218.60 / $10,053.73	Facility		$1,026.00	$3,218.60	$10,053.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $524.40 / $585.20	Professional		$3.50	$524.40	$585.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.87 / $1,857.48 / $3,499.32	Facility		$995.87	$1,857.48	$3,499.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.10 / $778.43 / $1,283.08	Professional		$272.10	$778.43	$1,283.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $727.60 / $1,026.00 / $1,406.00	Professional		$727.60	$1,026.00	$1,406.00
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 $988.00 / $988.00 / $988.00	Professional		$988.00	$988.00	$988.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,033.59 / $1,033.59 / $1,140.00	Professional		$1,033.59	$1,033.59	$1,140.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $380.00 / $760.00	Professional		$319.20	$380.00	$760.00