Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $6,341.28	Facility		$0.02	$0.03	$6,341.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $2,710.00 / $4,742.41	Professional		$0.02	$2,710.00	$4,742.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $4,417.21 / $35,848.81	Facility		$19.95	$4,417.21	$35,848.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $1,869.87 / $2,086.66	Professional		$3.50	$1,869.87	$2,086.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,732.55 / $6,623.19 / $12,475.44	Facility		$3,732.55	$6,623.19	$12,475.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.16 / $3,300.86 / $4,574.33	Professional		$1,386.16	$3,300.86	$4,574.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,764.15 / $3,795.62 / $5,690.90	Professional		$2,764.15	$3,795.62	$5,690.90
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 $3,522.94 / $3,522.94 / $3,522.94	Professional		$3,522.94	$3,522.94	$3,522.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,685.53 / $3,685.53 / $4,064.93	Professional		$3,685.53	$3,685.53	$4,064.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,625.97 / $2,709.95	Professional		$1,138.18	$1,625.97	$2,709.95