Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.60 / $3,647.00 / $9,680.95	Facility		$611.60	$3,647.00	$9,680.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $612.36 / $6,610.01	Professional		$283.06	$612.36	$6,610.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,047.79 / $9,284.95 / $19,269.27	Facility		$4,047.79	$9,284.95	$19,269.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.20 / $1,575.15 / $8,348.81	Professional		$384.20	$1,575.15	$8,348.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.08 / $755.11 / $7,555.29	Professional		$368.08	$755.11	$7,555.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $415.09 / $5,310.05 / $12,208.92	Professional		$415.09	$5,310.05	$12,208.92
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 $355.73 / $397.35 / $5,151.45	Professional		$355.73	$397.35	$5,151.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,825.10	Professional		$32.34	$32.34	$5,825.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,180.79 / $7,522.90 / $12,706.06	Professional		$5,180.79	$7,522.90	$12,706.06