Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.73 / $2,933.00 / $12,134.53	Facility		$961.73	$2,933.00	$12,134.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.75 / $653.94 / $1,152.90	Professional		$562.75	$653.94	$1,152.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,661.09 / $6,245.05 / $12,660.33	Facility		$2,661.09	$6,245.05	$12,660.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.96 / $893.95 / $1,104.56	Professional		$749.96	$893.95	$1,104.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.00 / $1,923.00 / $10,962.00	Facility		$1,230.00	$1,923.00	$10,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.37 / $884.68 / $1,317.44	Professional		$599.37	$884.68	$1,317.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.20 / $1,034.21 / $3,210.14	Professional		$669.20	$1,034.21	$3,210.14
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 $698.09 / $790.87 / $889.10	Professional		$698.09	$790.87	$889.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,005.36	Professional		$32.34	$32.34	$1,005.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.79 / $822.58 / $1,421.23	Professional		$581.79	$822.58	$1,421.23