Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.90 / $1,933.00 / $5,405.00	Facility		$431.90	$1,933.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $1,192.07 / $2,073.44	Professional		$213.16	$1,192.07	$2,073.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,533.84 / $3,280.96 / $6,570.12	Facility		$1,533.84	$3,280.96	$6,570.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.32 / $819.25 / $2,559.23	Professional		$254.32	$819.25	$2,559.23
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 $253.58 / $499.92 / $2,081.15	Professional		$253.58	$499.92	$2,081.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $294.42 / $1,649.80 / $3,458.99	Professional		$294.42	$1,649.80	$3,458.99
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 $245.18 / $263.97 / $1,562.99	Professional		$245.18	$263.97	$1,562.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,635.13	Professional		$32.34	$32.34	$1,635.13
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 $1,326.84 / $1,899.79 / $2,878.19	Professional		$1,326.84	$1,899.79	$2,878.19