Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.85 / $1,568.00 / $4,634.00	Facility		$668.85	$1,568.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.62 / $643.61 / $1,125.69	Professional		$406.62	$643.61	$1,125.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,525.99 / $8,139.91 / $11,300.30	Facility		$4,525.99	$8,139.91	$11,300.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.12 / $860.45 / $1,350.27	Professional		$509.12	$860.45	$1,350.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $7,269.29 / $8,115.30	Facility		$620.00	$7,269.29	$8,115.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.31 / $714.00 / $1,215.74	Professional		$373.31	$714.00	$1,215.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $984.18 / $3,460.16	Professional		$477.26	$984.18	$3,460.16
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 $532.87 / $542.91 / $931.15	Professional		$532.87	$542.91	$931.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,052.92	Professional		$32.34	$32.34	$1,052.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.19 / $789.89 / $1,409.71	Professional		$593.19	$789.89	$1,409.71