Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,288.25	Professional		$575.44	$676.08	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,079.46 / $13,489.63	Facility		$2,630.27	$7,079.46	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,122.02	Professional		$724.44	$870.96	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,380.38	Professional		$537.03	$870.96	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $3,801.89	Professional		$676.08	$1,148.15	$3,801.89
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 / $794.33 / $870.96	Professional		$741.31	$794.33	$870.96
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 $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,258.93	Professional		$575.44	$776.25	$1,258.93