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 $575.44 / $707.95 / $1,479.11	Professional		$575.44	$707.95	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $14,791.08	Facility		$4,168.69	$5,128.61	$14,791.08
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 $616.60 / $912.01 / $1,348.96	Professional		$616.60	$912.01	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $2,691.53	Professional		$707.95	$1,122.02	$2,691.53
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 $794.33 / $831.76 / $933.25	Professional		$794.33	$831.76	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $5,128.61	Facility		$1,096.48	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,318.26	Professional		$575.44	$776.25	$1,318.26