Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,187.76 / $5,888.44	Facility		$870.96	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,202.26	Professional		$489.78	$588.84	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $11,748.98	Facility		$4,073.80	$4,897.79	$11,748.98
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 $537.03 / $812.83 / $1,258.93	Professional		$537.03	$812.83	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,047.13 / $2,398.83	Professional		$575.44	$1,047.13	$2,398.83
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 $630.96 / $676.08 / $758.58	Professional		$630.96	$676.08	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $14,125.38	Facility		$2,570.40	$6,165.95	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,258.93	Professional		$489.78	$707.95	$1,258.93