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 $758.58 / $912.01 / $1,778.28	Professional		$758.58	$912.01	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $19,498.45	Facility		$3,715.35	$10,000.00	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,548.82	Professional		$1,047.13	$1,258.93	$1,548.82
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 $707.95 / $1,148.15 / $1,862.09	Professional		$707.95	$1,148.15	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $4,677.35	Professional		$912.01	$1,621.81	$4,677.35
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 $977.24 / $1,096.48 / $1,258.93	Professional		$977.24	$1,096.48	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
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 $794.33 / $1,047.13 / $1,737.80	Professional		$794.33	$1,047.13	$1,737.80