Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.94 / $1,826.66 / $5,091.00	Facility		$650.94	$1,826.66	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.40 / $650.94 / $1,166.33	Professional		$540.40	$650.94	$1,166.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,543.15 / $9,995.29 / $15,221.32	Facility		$6,543.15	$9,995.29	$15,221.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.19 / $1,078.83 / $1,312.75	Professional		$780.19	$1,078.83	$1,312.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.66 / $971.16 / $1,372.41	Professional		$660.66	$971.16	$1,372.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $749.68 / $1,125.68 / $2,886.71	Professional		$749.68	$1,125.68	$2,886.71
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 $759.32 / $812.99 / $905.49	Professional		$759.32	$812.99	$905.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,023.90	Professional		$32.34	$32.34	$1,023.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.62 / $878.13 / $1,399.92	Professional		$599.62	$878.13	$1,399.92