Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,862.09 / $5,888.44	Facility		$724.44	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,174.90	Professional		$457.09	$562.34	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $11,220.18	Facility		$2,089.30	$2,511.89	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,122.02	Professional		$616.60	$933.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,071.52	Professional		$489.78	$707.95	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $2,290.87	Professional		$562.34	$870.96	$2,290.87
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 $602.56 / $630.96 / $776.25	Professional		$602.56	$630.96	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,023.29 / $3,235.94	Facility		$158.49	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,071.52	Professional		$457.09	$616.60	$1,071.52