Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,041.74 / $7,762.47	Facility		$389.05	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $741.31 / $4,677.35	Professional		$194.98	$741.31	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $14,454.40 / $19,054.61	Facility		$4,073.80	$14,454.40	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $724.44 / $5,623.41	Professional		$190.55	$724.44	$5,623.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $4,073.80 / $6,309.57	Professional		$269.15	$4,073.80	$6,309.57
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 / $602.56 / $4,897.79	Professional		$501.19	$602.56	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $5,888.44	Professional		$32.36	$32.36	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $3,388.44	Professional		$186.21	$407.38	$3,388.44