Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.49 / $1,842.00 / $5,549.00	Facility		$789.49	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.94 / $789.49 / $1,387.73	Professional		$598.94	$789.49	$1,387.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,388.71 / $6,702.05 / $13,759.37	Facility		$4,388.71	$6,702.05	$13,759.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.16 / $997.65 / $1,442.71	Professional		$827.16	$997.65	$1,442.71
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 $702.50 / $996.92 / $1,519.63	Professional		$702.50	$996.92	$1,519.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $797.04 / $1,239.00 / $3,462.88	Professional		$797.04	$1,239.00	$3,462.88
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 $815.44 / $870.65 / $1,157.88	Professional		$815.44	$870.65	$1,157.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,336.02	Professional		$32.34	$32.34	$1,336.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.88 / $1,076.55 / $1,853.13	Professional		$761.88	$1,076.55	$1,853.13