Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,884.03 / $8,511.38	Facility		$794.33	$2,884.03	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,380.38 / $3,090.30	Professional		$416.87	$1,380.38	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $10,232.93	Facility		$4,168.69	$7,244.36	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $2,818.38	Professional		$549.54	$891.25	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $8,128.31	Facility		$4,365.16	$7,413.10	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,412.54 / $3,019.95	Professional		$467.74	$1,412.54	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $2,238.72 / $5,888.44	Professional		$549.54	$2,238.72	$5,888.44
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 $537.03 / $575.44 / $2,089.30	Professional		$537.03	$575.44	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,584.89 / $3,235.94	Professional		$478.63	$1,584.89	$3,235.94