Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,187.76 / $5,888.44	Facility		$933.25	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,318.26	Professional		$575.44	$676.08	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $10,471.29	Facility		$2,570.40	$4,786.30	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,071.52	Professional		$724.44	$851.14	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,288.25 / $2,691.53	Facility		$398.11	$1,288.25	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,380.38	Professional		$512.86	$831.76	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $2,454.71	Professional		$660.69	$1,148.15	$2,454.71
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 $741.31 / $776.25 / $851.14	Professional		$741.31	$776.25	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,467.37 / $7,585.78	Facility		$1,096.48	$3,467.37	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,288.25	Professional		$588.84	$776.25	$1,288.25