Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,884.03 / $9,332.54	Facility		$831.76	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $602.56	Professional		$512.86	$512.86	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,754.40 / $11,220.18	Facility		$2,137.96	$5,754.40	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $831.76	Professional		$537.03	$724.44	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,606.93 / $15,135.61	Facility		$4,897.79	$6,606.93	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $933.25	Professional		$199.53	$257.04	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $2,187.76	Professional		$478.63	$758.58	$2,187.76
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 $562.34 / $575.44 / $630.96	Professional		$562.34	$575.44	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $912.01 / $912.01	Professional		$891.25	$912.01	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,888.44 / $12,302.69	Facility		$1,445.44	$5,888.44	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96