Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,862.09 / $5,888.44	Facility		$676.08	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,288.25	Professional		$407.38	$676.08	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,511.38 / $11,220.18	Facility		$4,786.30	$8,511.38	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,348.96	Professional		$512.86	$851.14	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,174.90	Professional		$371.54	$707.95	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,000.00 / $3,890.45	Professional		$436.52	$1,000.00	$3,890.45
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 $537.03 / $537.03 / $933.25	Professional		$537.03	$537.03	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $5,128.61	Facility		$1,096.48	$2,951.21	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $1,148.15	Professional		$354.81	$630.96	$1,148.15