Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.20 / $1,731.00 / $5,091.00	Facility		$676.20	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.48 / $676.20 / $1,225.66	Professional		$552.48	$676.20	$1,225.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,126.79 / $7,249.46 / $15,812.00	Facility		$4,126.79	$7,249.46	$15,812.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $809.97 / $1,120.00 / $1,363.44	Professional		$809.97	$1,120.00	$1,363.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.65 / $974.28 / $1,373.92	Professional		$658.65	$974.28	$1,373.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $756.20 / $1,110.68 / $2,596.94	Professional		$756.20	$1,110.68	$2,596.94
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 $783.08 / $844.38 / $940.04	Professional		$783.08	$844.38	$940.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,062.97	Professional		$32.34	$32.34	$1,062.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.96 / $842.66 / $1,436.57	Professional		$603.96	$842.66	$1,436.57