Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $2,138.76	Facility		$0.02	$0.03	$2,138.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1,096.80 / $1,902.52	Professional		$0.02	$1,096.80	$1,902.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $1,572.08 / $12,090.94	Facility		$19.95	$1,572.08	$12,090.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $630.66 / $703.78	Professional		$3.50	$630.66	$703.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.90 / $2,233.59 / $4,208.12	Facility		$1,258.90	$2,233.59	$4,208.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.57 / $1,113.27 / $1,542.98	Professional		$467.57	$1,113.27	$1,542.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $932.28 / $1,553.80 / $4,336.81	Professional		$932.28	$1,553.80	$4,336.81
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 $1,188.20 / $1,188.20 / $1,188.20	Professional		$1,188.20	$1,188.20	$1,188.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,243.04 / $1,243.04 / $1,371.00	Professional		$1,243.04	$1,243.04	$1,371.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $960.61	Professional		$383.88	$548.40	$960.61