Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,905.46 / $8,511.38	Facility		$524.81	$1,905.46	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $977.24 / $2,041.74	Professional		$275.42	$977.24	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $6,025.60	Facility		$1,148.15	$3,090.30	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,047.13 / $1,621.81	Professional		$331.13	$1,047.13	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $17,378.01 / $17,378.01	Facility		$8,511.38	$17,378.01	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $776.25 / $2,041.74	Professional		$288.40	$776.25	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,621.81 / $2,884.03	Professional		$371.54	$1,621.81	$2,884.03
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 $302.00 / $346.74 / $1,348.96	Professional		$302.00	$346.74	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $870.96 / $2,089.30	Professional		$288.40	$870.96	$2,089.30