Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,731.00 / $5,389.00	Facility		$720.00	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.42 / $684.54 / $1,201.94	Professional		$617.42	$684.54	$1,201.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,348.56 / $8,011.00 / $13,101.33	Facility		$4,348.56	$8,011.00	$13,101.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.89 / $1,123.13 / $1,149.39	Professional		$835.89	$1,123.13	$1,149.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $785.00 / $7,194.87	Facility		$450.00	$785.00	$7,194.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.49 / $922.54 / $1,372.19	Professional		$616.49	$922.54	$1,372.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $690.95 / $1,087.17 / $2,801.79	Professional		$690.95	$1,087.17	$2,801.79
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 $791.73 / $812.88 / $898.44	Professional		$791.73	$812.88	$898.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,015.93	Professional		$32.34	$32.34	$1,015.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $5,951.00 / $11,479.00	Facility		$1,900.00	$5,951.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.29 / $866.35 / $1,434.05	Professional		$622.29	$866.35	$1,434.05