Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.41 / $1,634.42 / $5,091.00	Facility		$750.41	$1,634.42	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $700.19 / $1,373.18	Professional		$586.17	$700.19	$1,373.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,310.35 / $13,763.67	Facility		$2,517.01	$6,310.35	$13,763.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.49 / $1,149.31 / $1,399.14	Professional		$840.49	$1,149.31	$1,399.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.22 / $990.16 / $1,531.79	Professional		$713.22	$990.16	$1,531.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $774.50 / $1,249.76 / $2,774.28	Professional		$774.50	$1,249.76	$2,774.28
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 $826.79 / $887.73 / $1,118.73	Professional		$826.79	$887.73	$1,118.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,290.83	Professional		$32.34	$32.34	$1,290.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,465.00 / $4,780.00	Facility		$1,250.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.86 / $1,032.83 / $1,737.38	Professional		$741.86	$1,032.83	$1,737.38