Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.27 / $2,079.00 / $6,620.88	Facility		$700.27	$2,079.00	$6,620.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.51 / $1,110.48 / $2,316.57	Professional		$380.51	$1,110.48	$2,316.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,175.84 / $4,494.99 / $7,387.97	Facility		$3,175.84	$4,494.99	$7,387.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.42 / $1,359.94 / $2,103.81	Professional		$436.42	$1,359.94	$2,103.81
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 $388.23 / $1,096.26 / $2,582.42	Professional		$388.23	$1,096.26	$2,582.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $506.51 / $1,942.58 / $3,288.90	Professional		$506.51	$1,942.58	$3,288.90
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 $394.02 / $454.69 / $1,766.92	Professional		$394.02	$454.69	$1,766.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,997.98	Professional		$32.34	$32.34	$1,997.98
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 $1,545.00 / $2,274.98 / $3,436.92	Professional		$1,545.00	$2,274.98	$3,436.92