Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $2,326.37 / $8,646.19	Facility		$98.28	$2,326.37	$8,646.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,368.23	Professional		$2,326.37	$2,326.37	$2,368.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $3,117.60 / $25,384.88	Facility		$209.30	$3,117.60	$25,384.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,645.27 / $2,645.27 / $2,645.27	Professional		$2,645.27	$2,645.27	$2,645.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Facility		$2,554.44	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $22.23 / $408.35	Professional		$14.82	$22.23	$408.35
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,736.91 / $2,819.02	Professional		$2,349.17	$2,736.91	$2,819.02