Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.09 / $1,451.00 / $5,091.00	Facility		$710.09	$1,451.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.73 / $710.09 / $1,278.22	Professional		$587.73	$710.09	$1,278.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $7,612.79 / $16,604.45	Facility		$2,202.15	$7,612.79	$16,604.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.33 / $1,178.58 / $1,433.68	Professional		$852.33	$1,178.58	$1,433.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.52 / $974.00 / $1,449.20	Professional		$689.52	$974.00	$1,449.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $798.99 / $1,161.07 / $2,868.60	Professional		$798.99	$1,161.07	$2,868.60
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 $823.90 / $887.87 / $989.22	Professional		$823.90	$887.87	$989.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,118.58	Professional		$32.34	$32.34	$1,118.58
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.21 / $874.19 / $1,526.20	Professional		$650.21	$874.19	$1,526.20