Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,235.94 / $8,511.38	Facility		$851.14	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,380.38	Professional		$524.81	$707.95	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $11,481.54	Facility		$4,073.80	$5,011.87	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,258.93	Professional		$630.96	$1,023.29	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,348.96	Professional		$549.54	$831.76	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $3,162.28	Professional		$602.56	$977.24	$3,162.28
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 $660.69 / $676.08 / $870.96	Professional		$660.69	$676.08	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,318.26	Professional		$549.54	$776.25	$1,318.26