Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,737.80	Professional		$660.69	$851.14	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $17,782.79	Facility		$4,168.69	$5,128.61	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,584.89	Professional		$954.99	$1,318.26	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,548.82	Professional		$724.44	$1,071.52	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,951.21	Professional		$831.76	$1,318.26	$2,951.21
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 $933.25 / $977.24 / $1,096.48	Professional		$933.25	$977.24	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $7,244.36	Facility		$1,412.54	$3,548.13	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,548.82	Professional		$676.08	$912.01	$1,548.82