Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.12 / $1,842.00 / $5,389.00	Facility		$806.12	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.51 / $818.77 / $1,568.51	Professional		$620.51	$818.77	$1,568.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,616.84 / $14,432.17	Facility		$2,517.01	$6,616.84	$14,432.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.05 / $1,047.02 / $1,484.98	Professional		$867.05	$1,047.02	$1,484.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.21 / $1,014.49 / $1,554.00	Professional		$727.21	$1,014.49	$1,554.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $779.28 / $1,254.36 / $3,021.88	Professional		$779.28	$1,254.36	$3,021.88
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 $839.81 / $905.93 / $1,199.02	Professional		$839.81	$905.93	$1,199.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,383.48	Professional		$32.34	$32.34	$1,383.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,427.00 / $4,800.32	Facility		$1,250.00	$2,427.00	$4,800.32
United Facility/Professional Professional Modifier Low / Median / High Price $804.15 / $1,096.47 / $1,884.03	Professional		$804.15	$1,096.47	$1,884.03