Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.21 / $2,228.00 / $5,500.00	Facility		$783.21	$2,228.00	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.35 / $682.16 / $1,226.67	Professional		$434.35	$682.16	$1,226.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,317.49 / $9,659.54 / $13,276.47	Facility		$5,317.49	$9,659.54	$13,276.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.10 / $920.01 / $1,544.18	Professional		$636.10	$920.01	$1,544.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.94 / $849.28 / $1,383.37	Professional		$554.94	$849.28	$1,383.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $687.30 / $1,140.21 / $2,601.12	Professional		$687.30	$1,140.21	$2,601.12
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 $618.75 / $662.55 / $1,067.77	Professional		$618.75	$662.55	$1,067.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,207.40	Professional		$32.34	$32.34	$1,207.40
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 $605.95 / $872.33 / $1,397.28	Professional		$605.95	$872.33	$1,397.28