Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,265.80 / $10,000.00	Facility		$776.25	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $1,148.15	Professional		$363.08	$457.09	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $7,413.10	Facility		$2,454.71	$5,128.61	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $741.31	Professional		$501.19	$602.56	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $5,754.40 / $10,964.78	Facility		$575.44	$5,754.40	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $912.01	Professional		$371.54	$549.54	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $2,951.21	Professional		$446.68	$776.25	$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 $467.74 / $537.03 / $602.56	Professional		$467.74	$537.03	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,365.16 / $9,332.54	Facility		$1,584.89	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $851.14	Professional		$389.05	$501.19	$851.14