Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.93 / $2,095.00 / $5,393.00	Facility		$714.93	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.53 / $714.93 / $1,294.58	Professional		$591.53	$714.93	$1,294.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,281.45 / $7,664.62 / $16,717.52	Facility		$4,281.45	$7,664.62	$16,717.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.97 / $1,184.03 / $1,441.08	Professional		$768.97	$1,184.03	$1,441.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,992.41 / $4,457.05	Facility		$709.00	$3,992.41	$4,457.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.66 / $1,029.77 / $1,456.87	Professional		$704.66	$1,029.77	$1,456.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $781.34 / $1,173.93 / $2,903.01	Professional		$781.34	$1,173.93	$2,903.01
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 $827.36 / $892.46 / $993.79	Professional		$827.36	$892.46	$993.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,123.74	Professional		$32.34	$32.34	$1,123.74
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 $635.94 / $881.29 / $1,544.02	Professional		$635.94	$881.29	$1,544.02