Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.37 / $2,684.12 / $5,493.00	Facility		$611.37	$2,684.12	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.95 / $933.96 / $2,509.87	Professional		$335.95	$933.96	$2,509.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,686.55 / $5,282.44 / $10,293.66	Facility		$2,686.55	$5,282.44	$10,293.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.11 / $1,490.85 / $3,046.01	Professional		$419.11	$1,490.85	$3,046.01
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 $401.96 / $916.47 / $2,640.51	Professional		$401.96	$916.47	$2,640.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $435.46 / $1,947.66 / $3,596.65	Professional		$435.46	$1,947.66	$3,596.65
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 $393.78 / $435.46 / $1,879.48	Professional		$393.78	$435.46	$1,879.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,125.25	Professional		$32.34	$32.34	$2,125.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,247.00 / $8,995.00	Facility		$1,400.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,573.59 / $2,350.57 / $3,915.24	Professional		$1,573.59	$2,350.57	$3,915.24