Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.35 / $1,835.00 / $5,091.00	Facility		$661.35	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.42 / $661.35 / $1,256.72	Professional		$561.42	$661.35	$1,256.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $7,090.21 / $15,464.64	Facility		$2,202.15	$7,090.21	$15,464.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.22 / $1,063.65 / $1,291.18	Professional		$769.22	$1,063.65	$1,291.18
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 $645.86 / $922.65 / $1,300.26	Professional		$645.86	$922.65	$1,300.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $708.98 / $1,051.82 / $2,477.42	Professional		$708.98	$1,051.82	$2,477.42
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 $774.57 / $799.63 / $892.75	Professional		$774.57	$799.63	$892.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,009.49	Professional		$32.34	$32.34	$1,009.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,622.00 / $5,026.00	Facility		$1,095.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.11 / $788.81 / $1,318.33	Professional		$545.11	$788.81	$1,318.33