Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.25 / $1,172.56 / $1,392.30	Facility		$947.25	$1,172.56	$1,392.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,231.19	Professional		$1,172.56	$1,172.56	$1,231.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Professional		$1,350.00	$1,350.00	$1,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,334.40	Professional		$1,172.56	$1,172.56	$1,334.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $477.17 / $1,172.56 / $1,758.84	Professional		$477.17	$1,172.56	$1,758.84
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 $1,524.33 / $1,524.33 / $1,524.33	Professional		$1,524.33	$1,524.33	$1,524.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $1,752.98	Professional		$30.00	$40.00	$1,752.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,244.08	Professional		$1,172.56	$1,172.56	$1,244.08