Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $1,539.15 / $5,389.00	Facility		$826.00	$1,539.15	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.22 / $856.37 / $1,594.81	Professional		$691.22	$856.37	$1,594.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $7,138.37 / $15,569.68	Facility		$2,517.01	$7,138.37	$15,569.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.69 / $1,118.04 / $1,574.65	Professional		$937.69	$1,118.04	$1,574.65
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 $696.62 / $1,081.81 / $1,693.69	Professional		$696.62	$1,081.81	$1,693.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $862.49 / $1,356.38 / $2,915.78	Professional		$862.49	$1,356.38	$2,915.78
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 $951.15 / $990.18 / $1,259.49	Professional		$951.15	$990.18	$1,259.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,453.26	Professional		$32.34	$32.34	$1,453.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.41 / $1,175.65 / $2,025.63	Professional		$826.41	$1,175.65	$2,025.63