Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $5,623.41	Facility		$616.60	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $1,148.15	Professional		$346.74	$575.44	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $8,912.51	Facility		$4,073.80	$4,786.30	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,202.26	Professional		$489.78	$724.44	$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 $407.38 / $645.65 / $1,023.29	Professional		$407.38	$645.65	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $2,137.96	Professional		$501.19	$891.25	$2,137.96
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 $478.63 / $512.86 / $831.76	Professional		$478.63	$512.86	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
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 $354.81 / $549.54 / $1,047.13	Professional		$354.81	$549.54	$1,047.13