Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.00 / $2,222.07 / $5,389.00	Facility		$687.00	$2,222.07	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.99 / $775.98 / $1,902.67	Professional		$401.99	$775.98	$1,902.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,139.58 / $5,807.40 / $12,029.46	Facility		$3,139.58	$5,807.40	$12,029.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.52 / $1,244.78 / $2,564.42	Professional		$492.52	$1,244.78	$2,564.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.26 / $858.78 / $2,166.56	Professional		$433.26	$858.78	$2,166.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $514.75 / $1,642.23 / $3,808.06	Professional		$514.75	$1,642.23	$3,808.06
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 $434.92 / $495.86 / $1,582.32	Professional		$434.92	$495.86	$1,582.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,789.24	Professional		$32.34	$32.34	$1,789.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,231.92 / $1,793.80 / $3,250.10	Professional		$1,231.92	$1,793.80	$3,250.10