Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,862.09 / $5,623.41	Facility		$724.44	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,047.13	Professional		$389.05	$478.63	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $10,000.00	Facility		$2,089.30	$2,511.89	$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 $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $912.01	Professional		$398.11	$616.60	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $2,041.74	Professional		$489.78	$851.14	$2,041.74
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 / $645.65	Professional		$549.54	$575.44	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,023.29 / $3,235.94	Facility		$158.49	$1,023.29	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $912.01	Professional		$389.05	$512.86	$912.01