Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,995.26 / $7,762.47	Facility		$741.31	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,230.27	Professional		$467.74	$562.34	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $12,022.64	Facility		$2,089.30	$2,630.27	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,096.48	Professional		$660.69	$912.01	$1,096.48
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 / $758.58 / $1,122.02	Professional		$489.78	$758.58	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $2,344.23	Professional		$575.44	$933.25	$2,344.23
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 $645.65 / $691.83 / $758.58	Professional		$645.65	$691.83	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,096.48	Professional		$489.78	$645.65	$1,096.48