Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.69 / $3,148.00 / $8,783.00	Facility		$569.69	$3,148.00	$8,783.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $2,168.50 / $3,757.01	Professional		$152.49	$2,168.50	$3,757.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,729.29 / $3,966.71 / $10,051.54	Facility		$1,729.29	$3,966.71	$10,051.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $829.09 / $4,098.83	Professional		$203.45	$829.09	$4,098.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.83 / $424.87 / $4,221.75	Professional		$206.83	$424.87	$4,221.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $238.08 / $3,240.95 / $6,200.18	Professional		$238.08	$3,240.95	$6,200.18
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 $199.37 / $213.45 / $3,083.30	Professional		$199.37	$213.45	$3,083.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,557.66	Professional		$32.34	$32.34	$3,557.66
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 $3,120.25 / $4,554.21 / $8,049.95	Professional		$3,120.25	$4,554.21	$8,049.95