Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.98 / $2,103.76 / $5,393.00	Facility		$750.98	$2,103.76	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.90 / $750.98 / $1,352.86	Professional		$613.90	$750.98	$1,352.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,051.07 / $17,560.41	Facility		$4,295.45	$8,051.07	$17,560.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $898.23 / $1,242.05 / $1,511.90	Professional		$898.23	$1,242.05	$1,511.90
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 $711.51 / $1,080.36 / $1,523.63	Professional		$711.51	$1,080.36	$1,523.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $842.01 / $1,260.44 / $3,812.13	Professional		$842.01	$1,260.44	$3,812.13
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 $869.28 / $936.33 / $1,042.48	Professional		$869.28	$936.33	$1,042.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,178.81	Professional		$32.34	$32.34	$1,178.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,132.00 / $5,951.00 / $11,479.00	Facility		$2,132.00	$5,951.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.28 / $900.88 / $1,614.35	Professional		$658.28	$900.88	$1,614.35