Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.10 / $1,842.00 / $5,091.00	Facility		$502.10	$1,842.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.86 / $1,029.98 / $2,011.75	Professional		$264.86	$1,029.98	$2,011.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,247.78 / $4,283.92 / $5,807.40	Facility		$2,247.78	$4,283.92	$5,807.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.99 / $1,239.61 / $1,917.67	Professional		$305.99	$1,239.61	$1,917.67
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 $285.97 / $936.29 / $2,348.62	Professional		$285.97	$936.29	$2,348.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $356.21 / $1,766.63 / $2,990.96	Professional		$356.21	$1,766.63	$2,990.96
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 $285.74 / $322.70 / $1,606.94	Professional		$285.74	$322.70	$1,606.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,681.11	Professional		$32.34	$32.34	$1,681.11
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 $1,409.24 / $2,007.92 / $3,121.74	Professional		$1,409.24	$2,007.92	$3,121.74