Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.47 / $2,989.00 / $7,000.00	Facility		$712.47	$2,989.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $1,297.76 / $2,799.33	Professional		$370.70	$1,297.76	$2,799.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,712.03 / $7,548.09 / $11,054.68	Facility		$4,712.03	$7,548.09	$11,054.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.01 / $1,789.08 / $3,658.95	Professional		$445.01	$1,789.08	$3,658.95
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 $426.55 / $878.35 / $3,091.28	Professional		$426.55	$878.35	$3,091.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $481.27 / $2,337.26 / $4,788.38	Professional		$481.27	$2,337.26	$4,788.38
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 $417.61 / $462.10 / $2,257.67	Professional		$417.61	$462.10	$2,257.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,552.90	Professional		$32.34	$32.34	$2,552.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,796.10 / $2,491.39 / $4,699.24	Professional		$1,796.10	$2,491.39	$4,699.24