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 / $7,762.47	Facility		$616.60	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $954.99	Professional		$331.13	$512.86	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,570.88 / $6,456.54	Facility		$2,089.30	$4,570.88	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $912.01	Professional		$602.56	$602.56	$912.01
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 $346.74 / $549.54 / $977.24	Professional		$346.74	$549.54	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $2,754.23	Professional		$436.52	$812.83	$2,754.23
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 $416.87 / $436.52 / $707.95	Professional		$416.87	$436.52	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,691.53 / $5,128.61	Facility		$891.25	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $870.96	Professional		$346.74	$512.86	$870.96