Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,235.94 / $9,772.37	Facility		$676.08	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $1,000.00	Professional		$331.13	$512.86	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $7,585.78	Facility		$2,089.30	$2,511.89	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,000.00	Professional		$426.58	$588.84	$1,000.00
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 $389.05 / $602.56 / $912.01	Professional		$389.05	$602.56	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $2,630.27	Professional		$478.63	$794.33	$2,630.27
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 $446.68 / $457.09 / $676.08	Professional		$446.68	$457.09	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,165.95	Facility		$1,318.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $933.25	Professional		$371.54	$562.34	$933.25