Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $1,842.00 / $5,549.00	Facility		$795.21	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.27 / $795.21 / $1,259.77	Professional		$667.27	$795.21	$1,259.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,519.48 / $7,528.32 / $15,075.46	Facility		$3,519.48	$7,528.32	$15,075.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.99 / $945.52 / $1,105.01	Professional		$797.99	$945.52	$1,105.01
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 $707.85 / $995.02 / $1,559.44	Professional		$707.85	$995.02	$1,559.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $671.41 / $1,090.47 / $2,709.97	Professional		$671.41	$1,090.47	$2,709.97
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 $729.55 / $829.01 / $926.15	Professional		$729.55	$829.01	$926.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,047.26	Professional		$32.34	$32.34	$1,047.26
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.76 / $980.75 / $1,780.74	Professional		$677.76	$980.75	$1,780.74