Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.34 / $1,731.00 / $4,961.00	Facility		$709.34	$1,731.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $709.34 / $1,309.57	Professional		$532.95	$709.34	$1,309.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,483.06 / $5,492.84 / $11,980.59	Facility		$2,483.06	$5,492.84	$11,980.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.62 / $897.42 / $1,299.47	Professional		$720.62	$897.42	$1,299.47
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 $608.53 / $868.52 / $1,342.78	Professional		$608.53	$868.52	$1,342.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $700.14 / $1,093.68 / $2,221.44	Professional		$700.14	$1,093.68	$2,221.44
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 $726.83 / $760.18 / $1,041.55	Professional		$726.83	$760.18	$1,041.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,201.79	Professional		$32.34	$32.34	$1,201.79
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 $679.87 / $951.82 / $1,670.54	Professional		$679.87	$951.82	$1,670.54