Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.32 / $1,835.00 / $5,091.00	Facility		$738.32	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.24 / $738.32 / $1,332.19	Professional		$613.24	$738.32	$1,332.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $7,915.40 / $17,264.49	Facility		$2,202.15	$7,915.40	$17,264.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.86 / $1,226.32 / $1,491.51	Professional		$886.86	$1,226.32	$1,491.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.52 / $1,029.29 / $1,519.51	Professional		$698.52	$1,029.29	$1,519.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $807.97 / $1,211.39 / $2,995.37	Professional		$807.97	$1,211.39	$2,995.37
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 $862.55 / $923.69 / $1,029.29	Professional		$862.55	$923.69	$1,029.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,163.89	Professional		$32.34	$32.34	$1,163.89
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 $677.33 / $905.76 / $1,588.77	Professional		$677.33	$905.76	$1,588.77