Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,511.89 / $9,772.37	Facility		$741.31	$2,511.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,071.52	Professional		$512.86	$616.60	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,585.78 / $14,454.40	Facility		$2,818.38	$7,585.78	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,071.52	Professional		$660.69	$954.99	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $17,378.01	Facility		$9,120.11	$10,715.19	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,202.26	Professional		$537.03	$851.14	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $2,344.23	Professional		$346.74	$602.56	$2,344.23
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 $389.05 / $416.87 / $457.09	Professional		$389.05	$416.87	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $512.86	Professional		$478.63	$478.63	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,677.35 / $8,912.51	Facility		$1,258.93	$4,677.35	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $616.60	Professional		$269.15	$380.19	$616.60