Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.58 / $1,620.00 / $5,389.00	Facility		$667.58	$1,620.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.49 / $606.41 / $1,093.53	Professional		$484.49	$606.41	$1,093.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.73 / $6,114.50 / $12,571.13	Facility		$3,887.73	$6,114.50	$12,571.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.04 / $1,018.62 / $1,420.99	Professional		$677.04	$1,018.62	$1,420.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,172.58 / $1,309.04	Facility		$875.00	$1,172.58	$1,309.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.89 / $846.17 / $1,255.88	Professional		$365.89	$846.17	$1,255.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $526.66 / $1,035.72 / $2,079.01	Professional		$526.66	$1,035.72	$2,079.01
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 $708.98 / $719.90 / $977.64	Professional		$708.98	$719.90	$977.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,105.48	Professional		$32.34	$32.34	$1,105.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.20 / $713.42 / $1,311.34	Professional		$510.20	$713.42	$1,311.34