Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.10 / $2,781.79 / $2,781.79	Facility		$651.10	$2,781.79	$2,781.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.47 / $2,527.84 / $3,268.15	Professional		$1,752.47	$2,527.84	$3,268.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.96 / $2,319.05 / $6,302.16	Facility		$1,182.96	$2,319.05	$6,302.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $198.03 / $884.33	Professional		$62.92	$198.03	$884.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.78 / $1,314.25 / $3,691.34	Facility		$773.78	$1,314.25	$3,691.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.40 / $636.23 / $983.07	Professional		$378.40	$636.23	$983.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $687.19 / $1,032.15 / $2,240.85	Professional		$687.19	$1,032.15	$2,240.85
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 $704.35 / $717.74 / $907.17	Professional		$704.35	$717.74	$907.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.24 / $2,500.00	Professional		$32.34	$47.24	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,624.82 / $2,624.82 / $2,644.30	Facility		$2,624.82	$2,624.82	$2,644.30
United Facility/Professional Professional Modifier Low / Median / High Price $630.21 / $1,748.92 / $3,560.12	Professional		$630.21	$1,748.92	$3,560.12