Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $8,709.64	Facility		$524.81	$645.65	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $602.56	Professional		$426.58	$524.81	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $16,218.10	Facility		$1,096.48	$4,073.80	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $1,548.82	Facility		$575.44	$812.83	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,348.96 / $3,715.35	Professional		$199.53	$1,348.96	$3,715.35
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,621.81 / $2,187.76	Facility		$190.55	$1,621.81	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42