Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.23 / $1,279.45 / $7,407.00	Facility		$291.23	$1,279.45	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.45 / $1,017.80 / $1,273.72	Professional		$650.45	$1,017.80	$1,273.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $12,077.17 / $28,095.11	Facility		$456.40	$12,077.17	$28,095.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.78 / $2,044.82 / $2,142.83	Professional		$1,133.78	$2,044.82	$2,142.83
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 $451.47 / $1,230.58 / $1,919.02	Professional		$451.47	$1,230.58	$1,919.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $651.34 / $2,673.16	Professional		$345.40	$651.34	$2,673.16
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 $529.22 / $529.22 / $529.22	Professional		$529.22	$529.22	$529.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $486.57 / $2,500.00 / $2,500.00	Professional		$486.57	$2,500.00	$2,500.00
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 $359.63 / $480.75 / $852.25	Professional		$359.63	$480.75	$852.25