Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,525.28 / $4,634.00	Facility		$600.00	$1,525.28	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $659.33 / $1,129.83	Professional		$527.29	$659.33	$1,129.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,038.23 / $6,147.41 / $13,408.29	Facility		$2,038.23	$6,147.41	$13,408.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.05 / $1,110.35 / $1,360.45	Professional		$671.05	$1,110.35	$1,360.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,279.13 / $1,428.00	Facility		$620.00	$1,279.13	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.54 / $864.27 / $1,333.93	Professional		$428.54	$864.27	$1,333.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $535.24 / $1,003.65 / $2,966.34	Professional		$535.24	$1,003.65	$2,966.34
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 $706.00 / $709.11 / $931.96	Professional		$706.00	$709.11	$931.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,053.83	Professional		$32.34	$32.34	$1,053.83
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 $601.26 / $849.19 / $1,461.04	Professional		$601.26	$849.19	$1,461.04