Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,090.30 / $8,511.38	Facility		$741.31	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $912.01	Professional		$398.11	$467.74	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,128.61 / $9,772.37	Facility		$1,905.46	$5,128.61	$9,772.37
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 $389.05 / $588.84 / $977.24	Professional		$389.05	$588.84	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $2,137.96	Professional		$436.52	$831.76	$2,137.96
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 $489.78 / $562.34 / $630.96	Professional		$489.78	$562.34	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $4,570.88	Facility		$707.95	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $912.01	Professional		$407.38	$562.34	$912.01