Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.02 / $1,694.00 / $5,389.00	Facility		$408.02	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $704.95 / $1,767.82	Professional		$223.84	$704.95	$1,767.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.89 / $2,367.67 / $4,741.27	Facility		$1,106.89	$2,367.67	$4,741.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.06 / $1,009.02 / $1,560.94	Professional		$253.06	$1,009.02	$1,560.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,519.00 / $17,512.00 / $17,526.00	Facility		$8,519.00	$17,512.00	$17,526.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.89 / $571.24 / $1,834.66	Professional		$235.89	$571.24	$1,834.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $305.01 / $1,378.25 / $3,325.71	Professional		$305.01	$1,378.25	$3,325.71
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 $243.67 / $268.70 / $1,305.92	Professional		$243.67	$268.70	$1,305.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,476.69	Professional		$32.34	$32.34	$1,476.69
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.60 / $1,516.41 / $2,349.96	Professional		$1,005.60	$1,516.41	$2,349.96