Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.43 / $1,244.35 / $1,247.83	Facility		$1,122.43	$1,244.35	$1,247.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.02 / $753.92 / $2,524.19	Professional		$583.02	$753.92	$2,524.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,667.34 / $3,089.66 / $3,089.66	Facility		$1,667.34	$3,089.66	$3,089.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.20 / $1,037.92 / $1,119.19	Professional		$844.20	$1,037.92	$1,119.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $883.74	Facility		$883.74	$883.74	$883.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.08 / $1,056.49 / $1,538.50	Professional		$751.08	$1,056.49	$1,538.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.90 / $1,164.09 / $3,833.36	Professional		$812.90	$1,164.09	$3,833.36
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 $918.67 / $956.36 / $1,017.37	Professional		$918.67	$956.36	$1,017.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,064.32	Professional		$32.34	$32.34	$1,064.32
United Facility/Professional Professional Modifier Low / Median / High Price $729.25 / $965.65 / $1,487.12	Professional		$729.25	$965.65	$1,487.12