Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.09 / $1,842.00 / $5,389.00	Facility		$653.09	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $653.09 / $1,181.45	Professional		$540.54	$653.09	$1,181.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,564.71 / $10,028.23 / $15,271.48	Facility		$6,564.71	$10,028.23	$15,271.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.04 / $1,081.39 / $1,316.27	Professional		$782.04	$1,081.39	$1,316.27
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 $657.65 / $942.55 / $1,353.68	Professional		$657.65	$942.55	$1,353.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $733.33 / $1,072.26 / $2,864.98	Professional		$733.33	$1,072.26	$2,864.98
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 $755.92 / $815.17 / $907.63	Professional		$755.92	$815.17	$907.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,026.32	Professional		$32.34	$32.34	$1,026.32
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 $594.40 / $820.76 / $1,409.14	Professional		$594.40	$820.76	$1,409.14