Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.93 / $1,471.00 / $5,091.00	Facility		$324.93	$1,471.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $555.83 / $1,206.45	Professional		$190.13	$555.83	$1,206.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.10 / $4,166.89 / $5,807.40	Facility		$2,320.10	$4,166.89	$5,807.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.90 / $763.56 / $1,560.12	Professional		$219.90	$763.56	$1,560.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $444.64 / $1,283.47	Professional		$211.49	$444.64	$1,283.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.85 / $997.52 / $2,084.98	Professional		$245.85	$997.52	$2,084.98
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 $212.63 / $228.29 / $962.64	Professional		$212.63	$228.29	$962.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,088.52	Professional		$32.34	$32.34	$1,088.52
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 $764.48 / $1,052.69 / $1,966.25	Professional		$764.48	$1,052.69	$1,966.25