Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,187.76 / $5,888.44	Facility		$812.83	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,071.52	Professional		$389.05	$478.63	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $10,000.00	Facility		$4,073.80	$4,897.79	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $933.25	Professional		$549.54	$758.58	$933.25
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 $416.87 / $616.60 / $933.25	Professional		$416.87	$616.60	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,995.26	Professional		$478.63	$776.25	$1,995.26
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 $549.54 / $575.44 / $630.96	Professional		$549.54	$575.44	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
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 $398.11 / $524.81 / $912.01	Professional		$398.11	$524.81	$912.01