Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.79 / $1,933.00 / $5,393.00	Facility		$514.79	$1,933.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $839.38 / $1,837.83	Professional		$305.64	$839.38	$1,837.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,212.50 / $4,697.14 / $8,477.34	Facility		$2,212.50	$4,697.14	$8,477.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.55 / $967.62 / $2,785.66	Professional		$388.55	$967.62	$2,785.66
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 $357.92 / $681.26 / $2,273.94	Professional		$357.92	$681.26	$2,273.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.08 / $1,767.32 / $3,167.34	Professional		$406.08	$1,767.32	$3,167.34
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 $346.79 / $391.53 / $1,718.83	Professional		$346.79	$391.53	$1,718.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,943.60	Professional		$32.34	$32.34	$1,943.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,247.00 / $8,995.00	Facility		$1,152.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.94 / $1,609.09 / $2,728.26	Professional		$1,133.94	$1,609.09	$2,728.26