Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,884.03 / $7,762.47	Facility		$954.99	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,348.96	Professional		$512.86	$616.60	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $12,882.50	Facility		$4,073.80	$4,897.79	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,202.26	Professional		$707.95	$1,000.00	$1,202.26
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 $549.54 / $812.83 / $1,230.27	Professional		$549.54	$812.83	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,570.40	Professional		$630.96	$1,000.00	$2,570.40
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 $691.83 / $741.31 / $831.76	Professional		$691.83	$741.31	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,202.26	Professional		$524.81	$691.83	$1,202.26