Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.91 / $2,085.82 / $2,784.38	Facility		$87.91	$2,085.82	$2,784.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,895.75	Professional		$2,784.38	$2,784.38	$2,895.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.72 / $415.19 / $2,057.50	Facility		$271.72	$415.19	$2,057.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $109.98	Professional		$104.89	$104.89	$109.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,283.46	Professional		$2,784.38	$2,784.38	$3,283.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $2,784.38 / $4,176.57	Professional		$248.25	$2,784.38	$4,176.57
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 $3,619.69 / $3,619.69 / $3,619.69	Professional		$3,619.69	$3,619.69	$3,619.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $129.71 / $138.97	Professional		$99.14	$129.71	$138.97
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,052.63	Professional		$2,784.38	$2,784.38	$3,052.63