Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.89 / $1,767.03 / $5,430.00	Facility		$654.89	$1,767.03	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $809.37 / $1,658.92	Professional		$631.54	$809.37	$1,658.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,379.79 / $13,915.14	Facility		$2,517.01	$6,379.79	$13,915.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.91 / $1,032.66 / $1,477.04	Professional		$839.91	$1,032.66	$1,477.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.13 / $1,012.29 / $1,578.95	Professional		$719.13	$1,012.29	$1,578.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $815.24 / $1,261.90 / $2,501.59	Professional		$815.24	$1,261.90	$2,501.59
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 $845.91 / $886.74 / $1,182.57	Professional		$845.91	$886.74	$1,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,364.51	Professional		$32.34	$32.34	$1,364.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.56 / $1,067.94 / $1,882.57	Professional		$793.56	$1,067.94	$1,882.57