Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,862.09 / $5,888.44	Facility		$660.69	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,122.02	Professional		$346.74	$562.34	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $8,317.64	Facility		$3,548.13	$4,265.80	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,202.26	Professional		$489.78	$724.44	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,047.13	Professional		$407.38	$645.65	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,819.70	Professional		$512.86	$912.01	$1,819.70
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 $478.63 / $512.86 / $831.76	Professional		$478.63	$512.86	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $5,128.61	Facility		$1,096.48	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $977.24	Professional		$363.08	$575.44	$977.24