Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $851.14 / $3,388.44	Facility		$165.96	$851.14	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,071.52	Professional		$851.14	$870.96	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,754.23 / $10,471.29	Facility		$954.99	$2,754.23	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,778.28	Professional		$812.83	$1,202.26	$1,778.28
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 $1,258.93 / $1,318.26 / $1,318.26	Professional		$1,258.93	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,174.90	Facility		$707.95	$707.95	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $954.99	Professional		$891.25	$891.25	$954.99