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 $371.54 / $489.78 / $1,071.52	Professional		$371.54	$489.78	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $9,549.93	Facility		$2,511.89	$3,019.95	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $912.01	Professional		$407.38	$616.60	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,862.09	Professional		$467.74	$741.31	$1,862.09
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 $489.78 / $549.54 / $616.60	Professional		$489.78	$549.54	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $97.72	Professional		$32.36	$32.36	$97.72
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 $407.38 / $562.34 / $912.01	Professional		$407.38	$562.34	$912.01