Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.65 / $1,825.33 / $5,091.00	Facility		$373.65	$1,825.33	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $1,697.33 / $2,846.05	Professional		$180.00	$1,697.33	$2,846.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,316.48 / $2,816.00 / $5,639.04	Facility		$1,316.48	$2,816.00	$5,639.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.52 / $377.74 / $3,266.85	Professional		$216.52	$377.74	$3,266.85
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 $226.11 / $509.29 / $3,042.95	Professional		$226.11	$509.29	$3,042.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.20 / $2,412.29 / $4,614.88	Professional		$252.20	$2,412.29	$4,614.88
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 $205.40 / $226.11 / $2,289.53	Professional		$205.40	$226.11	$2,289.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,641.77	Professional		$32.34	$32.34	$2,641.77
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 $1,889.54 / $2,674.52 / $4,127.99	Professional		$1,889.54	$2,674.52	$4,127.99