Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.40 / $1,025.17 / $1,672.31	Facility		$525.40	$1,025.17	$1,672.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $525.40 / $736.84	Professional		$493.36	$525.40	$736.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.76 / $2,693.74 / $9,339.29	Facility		$845.76	$2,693.74	$9,339.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.50 / $2,332.46 / $2,949.85	Facility		$882.50	$2,332.46	$2,949.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.20 / $736.38 / $935.20	Professional		$292.20	$736.38	$935.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.58 / $919.02 / $1,610.01	Professional		$512.58	$919.02	$1,610.01
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 $832.95 / $832.95 / $832.95	Professional		$832.95	$832.95	$832.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $439.54 / $800.91	Professional		$320.37	$439.54	$800.91
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $384.44 / $640.73	Professional		$269.11	$384.44	$640.73