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 $537.03 / $645.65 / $1,258.93	Professional		$537.03	$645.65	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $10,715.19	Facility		$977.24	$1,348.96	$10,715.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,096.48	Professional		$741.31	$891.25	$1,096.48
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 $524.81 / $812.83 / $1,348.96	Professional		$524.81	$812.83	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $2,951.21	Professional		$630.96	$1,148.15	$2,951.21
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 $707.95 / $776.25 / $891.25	Professional		$707.95	$776.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,187.76 / $4,570.88	Facility		$776.25	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,258.93	Professional		$562.34	$741.31	$1,258.93