Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,995.26 / $7,762.47	Facility		$741.31	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,445.44	Professional		$436.52	$660.69	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $13,489.63	Facility		$2,511.89	$3,019.95	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,148.15	Professional		$812.83	$1,047.13	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,348.96	Professional		$478.63	$851.14	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,737.80	Professional		$630.96	$1,023.29	$1,737.80
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 $630.96 / $776.25 / $912.01	Professional		$630.96	$776.25	$912.01
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 $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $1,995.26	Professional		$457.09	$741.31	$1,995.26