Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.94 / $1,842.00 / $5,393.00	Facility		$640.94	$1,842.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.61 / $685.12 / $1,264.82	Professional		$349.61	$685.12	$1,264.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,704.24 / $5,282.44 / $10,361.44	Facility		$2,704.24	$5,282.44	$10,361.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.83 / $846.84 / $1,737.72	Professional		$423.83	$846.84	$1,737.72
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 $397.60 / $786.28 / $1,468.12	Professional		$397.60	$786.28	$1,468.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.96 / $1,106.54 / $2,331.08	Professional		$442.96	$1,106.54	$2,331.08
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 $381.20 / $430.73 / $1,072.23	Professional		$381.20	$430.73	$1,072.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,212.44	Professional		$32.34	$32.34	$1,212.44
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 $902.96 / $1,401.49 / $2,172.52	Professional		$902.96	$1,401.49	$2,172.52