Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.57 / $1,694.00 / $5,091.00	Facility		$751.57	$1,694.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $689.98 / $1,418.66	Professional		$601.99	$689.98	$1,418.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,388.71 / $7,098.26 / $14,660.73	Facility		$4,388.71	$7,098.26	$14,660.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.03 / $1,135.77 / $1,372.56	Professional		$881.03	$1,135.77	$1,372.56
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 $685.94 / $977.99 / $1,420.21	Professional		$685.94	$977.99	$1,420.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.26 / $1,226.03 / $2,815.85	Professional		$780.26	$1,226.03	$2,815.85
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 $858.20 / $922.13 / $1,105.55	Professional		$858.20	$922.13	$1,105.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,275.63	Professional		$32.34	$32.34	$1,275.63
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 $667.33 / $970.39 / $1,749.04	Professional		$667.33	$970.39	$1,749.04