Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.41 / $1,835.00 / $5,389.00	Facility		$744.41	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.51 / $744.41 / $1,135.11	Professional		$584.51	$744.41	$1,135.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,060.85 / $8,621.17 / $15,559.37	Facility		$4,060.85	$8,621.17	$15,559.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.07 / $1,103.95 / $1,187.26	Professional		$694.07	$1,103.95	$1,187.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.14 / $913.87 / $1,306.76	Professional		$615.14	$913.87	$1,306.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $674.94 / $1,043.08 / $2,562.55	Professional		$674.94	$1,043.08	$2,562.55
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 $772.97 / $797.65 / $880.02	Professional		$772.97	$797.65	$880.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,015.41	Professional		$32.34	$32.34	$1,015.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.70 / $928.19 / $1,450.02	Professional		$632.70	$928.19	$1,450.02