Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.93 / $1,972.00 / $5,389.00	Facility		$751.93	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.41 / $751.93 / $1,363.75	Professional		$622.41	$751.93	$1,363.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,061.32 / $17,582.75	Facility		$4,295.45	$8,061.32	$17,582.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.82 / $1,245.63 / $1,516.24	Professional		$900.82	$1,245.63	$1,516.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.54 / $1,061.58 / $1,528.03	Professional		$724.54	$1,061.58	$1,528.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $837.06 / $1,235.15 / $3,234.42	Professional		$837.06	$1,235.15	$3,234.42
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 $872.09 / $939.00 / $1,045.50	Professional		$872.09	$939.00	$1,045.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,182.22	Professional		$32.34	$32.34	$1,182.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.48 / $935.30 / $1,624.04	Professional		$687.48	$935.30	$1,624.04