Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.58 / $2,933.00 / $5,549.00	Facility		$407.58	$2,933.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.71 / $1,698.60 / $3,499.25	Professional		$182.71	$1,698.60	$3,499.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,888.22 / $4,098.30 / $6,506.50	Facility		$1,888.22	$4,098.30	$6,506.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $377.79 / $3,500.71	Professional		$265.63	$377.79	$3,500.71
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 $232.25 / $510.55 / $3,903.17	Professional		$232.25	$510.55	$3,903.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.27 / $2,990.17 / $4,908.02	Professional		$308.27	$2,990.17	$4,908.02
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 $235.86 / $274.18 / $2,850.63	Professional		$235.86	$274.18	$2,850.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,289.19	Professional		$32.34	$32.34	$3,289.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,300.67 / $3,400.55 / $5,843.83	Professional		$2,300.67	$3,400.55	$5,843.83