Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.57 / $2,836.00 / $6,661.00	Facility		$637.57	$2,836.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $1,287.73 / $2,789.88	Professional		$322.64	$1,287.73	$2,789.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.94 / $6,504.41 / $9,108.15	Facility		$2,173.94	$6,504.41	$9,108.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.97 / $1,169.70 / $2,863.82	Professional		$432.97	$1,169.70	$2,863.82
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 $402.77 / $1,359.90 / $3,080.95	Professional		$402.77	$1,359.90	$3,080.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $484.81 / $2,205.23 / $6,974.00	Professional		$484.81	$2,205.23	$6,974.00
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 $408.79 / $450.18 / $2,091.96	Professional		$408.79	$450.18	$2,091.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,413.80	Professional		$32.34	$32.34	$2,413.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,878.10 / $2,747.46 / $4,289.63	Professional		$1,878.10	$2,747.46	$4,289.63