Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.08 / $2,379.21 / $5,580.00	Facility		$879.08	$2,379.21	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.49 / $837.06 / $1,425.48	Professional		$657.49	$837.06	$1,425.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $8,139.91 / $13,350.73	Facility		$3,981.52	$8,139.91	$13,350.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.54 / $982.57 / $1,463.09	Professional		$720.54	$982.57	$1,463.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $908.00 / $5,676.58	Facility		$579.00	$908.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.23 / $1,047.38 / $1,706.34	Professional		$689.23	$1,047.38	$1,706.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $813.90 / $1,262.57 / $3,582.13	Professional		$813.90	$1,262.57	$3,582.13
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 $796.71 / $845.31 / $1,167.49	Professional		$796.71	$845.31	$1,167.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,320.16	Professional		$32.34	$32.34	$1,320.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.12 / $1,116.60 / $1,820.72	Professional		$815.12	$1,116.60	$1,820.72