Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,187.76 / $5,888.44	Facility		$812.83	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,096.48	Professional		$363.08	$467.74	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $23,442.29 / $30,902.95	Facility		$4,897.79	$23,442.29	$30,902.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,288.25	Professional		$588.84	$758.58	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $30,199.52	Facility		$30,199.52	$30,199.52	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $891.25	Professional		$398.11	$616.60	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $2,238.72	Professional		$457.09	$758.58	$2,238.72
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 $501.19 / $575.44 / $660.69	Professional		$501.19	$575.44	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $660.69	Professional		$32.36	$32.36	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $16,218.10 / $44,668.36	Facility		$3,162.28	$16,218.10	$44,668.36
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $912.01	Professional		$380.19	$524.81	$912.01