Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.13 / $1,231.60 / $5,091.00	Facility		$310.13	$1,231.60	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.35 / $732.79 / $1,231.60	Professional		$162.35	$732.79	$1,231.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.41 / $2,818.74 / $4,549.63	Facility		$1,187.41	$2,818.74	$4,549.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $580.48 / $1,420.37	Professional		$197.00	$580.48	$1,420.37
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 $187.94 / $415.97 / $1,266.01	Professional		$187.94	$415.97	$1,266.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $1,000.64 / $2,158.69	Professional		$227.98	$1,000.64	$2,158.69
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 $190.28 / $204.40 / $946.47	Professional		$190.28	$204.40	$946.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,092.08	Professional		$32.34	$32.34	$1,092.08
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.86 / $1,070.39 / $1,626.65	Professional		$758.86	$1,070.39	$1,626.65