Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.72 / $1,433.81 / $4,634.00	Facility		$697.72	$1,433.81	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.08 / $769.51 / $1,376.30	Professional		$630.08	$769.51	$1,376.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,038.23 / $7,480.07 / $16,314.99	Facility		$2,038.23	$7,480.07	$16,314.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.94 / $1,119.31 / $1,635.84	Professional		$803.94	$1,119.31	$1,635.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,192.07 / $1,330.81	Facility		$463.00	$1,192.07	$1,330.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.78 / $1,013.07 / $1,532.60	Professional		$505.78	$1,013.07	$1,532.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $650.02 / $1,192.32 / $2,165.69	Professional		$650.02	$1,192.32	$2,165.69
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 $847.02 / $848.17 / $1,119.31	Professional		$847.02	$848.17	$1,119.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,265.68	Professional		$32.34	$32.34	$1,265.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,780.00	Facility		$1,183.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.60 / $979.21 / $1,745.51	Professional		$715.60	$979.21	$1,745.51