Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.81 / $1,964.98 / $5,389.00	Facility		$400.81	$1,964.98	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $1,448.82 / $2,955.84	Professional		$169.62	$1,448.82	$2,955.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,575.47 / $3,370.00 / $6,748.42	Facility		$1,575.47	$3,370.00	$6,748.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.59 / $1,002.91 / $3,745.05	Professional		$244.59	$1,002.91	$3,745.05
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 $234.32 / $481.82 / $3,164.02	Professional		$234.32	$481.82	$3,164.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.62 / $2,384.06 / $4,819.87	Professional		$274.62	$2,384.06	$4,819.87
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 $225.90 / $252.99 / $2,310.80	Professional		$225.90	$252.99	$2,310.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,612.98	Professional		$32.34	$32.34	$2,612.98
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,989.88 / $2,725.61 / $4,837.07	Professional		$1,989.88	$2,725.61	$4,837.07