Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.64 / $8,529.32 / $16,715.20	Facility		$826.64	$8,529.32	$16,715.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $612.60 / $6,241.50	Professional		$590.46	$612.60	$6,241.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.46 / $588.41 / $7,351.83	Facility		$445.46	$588.41	$7,351.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.36 / $696.36 / $696.36	Professional		$696.36	$696.36	$696.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $922.68 / $1,384.02	Facility		$627.36	$922.68	$1,384.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.99 / $869.45 / $1,477.74	Professional		$595.99	$869.45	$1,477.74
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 $911.52 / $911.52 / $911.52	Professional		$911.52	$911.52	$911.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $664.26	Professional		$615.05	$615.05	$664.26