Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.82 / $2,989.00 / $8,107.78	Facility		$314.82	$2,989.00	$8,107.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $2,703.09 / $5,073.32	Professional		$162.07	$2,703.09	$5,073.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,837.77 / $4,215.54 / $8,637.81	Facility		$1,837.77	$4,215.54	$8,637.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.48 / $759.73 / $5,155.49	Professional		$202.48	$759.73	$5,155.49
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 $196.15 / $422.06 / $4,750.47	Professional		$196.15	$422.06	$4,750.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $3,711.75 / $8,228.66	Professional		$229.13	$3,711.75	$8,228.66
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 $195.17 / $205.43 / $3,528.93	Professional		$195.17	$205.43	$3,528.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,071.84	Professional		$32.34	$32.34	$4,071.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,143.04 / $4,725.47 / $7,371.87	Professional		$3,143.04	$4,725.47	$7,371.87