Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,187.76 / $5,888.44	Facility		$831.76	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,174.90	Professional		$426.58	$537.03	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $11,481.54	Facility		$4,073.80	$4,897.79	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,023.29	Professional		$616.60	$851.14	$1,023.29
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 $457.09 / $691.83 / $1,023.29	Professional		$457.09	$691.83	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $2,089.30	Professional		$537.03	$870.96	$2,089.30
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 / $645.65 / $707.95	Professional		$602.56	$645.65	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $5,011.87	Facility		$1,096.48	$2,691.53	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $977.24	Professional		$426.58	$575.44	$977.24