Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.72 / $1,696.00 / $5,389.00	Facility		$389.72	$1,696.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $698.52 / $1,676.93	Professional		$206.13	$698.52	$1,676.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,783.25 / $3,870.48 / $5,370.03	Facility		$1,783.25	$3,870.48	$5,370.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.66 / $955.80 / $1,478.61	Professional		$246.66	$955.80	$1,478.61
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 $228.03 / $727.25 / $1,816.05	Professional		$228.03	$727.25	$1,816.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.10 / $1,365.30 / $2,390.51	Professional		$287.10	$1,365.30	$2,390.51
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 $220.42 / $256.77 / $1,242.55	Professional		$220.42	$256.77	$1,242.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,405.04	Professional		$32.34	$32.34	$1,405.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,247.00 / $8,995.00	Facility		$1,600.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.13 / $1,593.74 / $2,583.66	Professional		$1,084.13	$1,593.74	$2,583.66