Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,698.24 / $2,951.21	Facility		$870.96	$1,698.24	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,412.54	Professional		$691.83	$831.76	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,202.26 / $12,302.69	Facility		$245.47	$1,202.26	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,174.90 / $4,466.84	Facility		$524.81	$1,174.90	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,778.28	Professional		$794.33	$1,202.26	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $4,265.80	Professional		$977.24	$1,737.80	$4,265.80
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 $1,148.15 / $1,174.90 / $1,288.25	Professional		$1,148.15	$1,174.90	$1,288.25
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 $446.68 / $446.68 / $1,000.00	Facility		$446.68	$446.68	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,584.89	Professional		$851.14	$1,122.02	$1,584.89