Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.31 / $1,451.00 / $5,091.00	Facility		$685.31	$1,451.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.34 / $685.31 / $1,130.43	Professional		$577.34	$685.31	$1,130.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,182.32 / $7,347.03 / $16,024.80	Facility		$4,182.32	$7,347.03	$16,024.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,072.73 / $3,430.33	Facility		$463.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $959.46 / $1,357.02	Professional		$671.62	$959.46	$1,357.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $747.69 / $1,093.78 / $2,548.06	Professional		$747.69	$1,093.78	$2,548.06
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 $802.46 / $831.53 / $928.49	Professional		$802.46	$831.53	$928.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,049.90	Professional		$32.34	$32.34	$1,049.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.79 / $844.19 / $1,395.76	Professional		$590.79	$844.19	$1,395.76