Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.24 / $1,842.00 / $5,549.00	Facility		$700.24	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.10 / $750.33 / $1,395.50	Professional		$583.10	$750.33	$1,395.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,159.30 / $13,434.23	Facility		$2,517.01	$6,159.30	$13,434.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.04 / $990.51 / $1,428.06	Professional		$807.04	$990.51	$1,428.06
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 $591.69 / $948.40 / $1,476.78	Professional		$591.69	$948.40	$1,476.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.62 / $1,219.79 / $2,422.48	Professional		$741.62	$1,219.79	$2,422.48
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 $795.09 / $846.59 / $1,149.58	Professional		$795.09	$846.59	$1,149.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,326.45	Professional		$32.34	$32.34	$1,326.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.62 / $1,020.58 / $1,810.91	Professional		$746.62	$1,020.58	$1,810.91