Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.66 / $1,451.00 / $5,091.00	Facility		$639.66	$1,451.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.36 / $596.97 / $1,154.03	Professional		$396.36	$596.97	$1,154.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $6,696.99 / $14,606.99	Facility		$2,687.00	$6,696.99	$14,606.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.67 / $1,042.63 / $1,145.68	Professional		$804.67	$1,042.63	$1,145.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $2,543.84 / $2,839.89	Facility		$463.00	$2,543.84	$2,839.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $888.43 / $1,343.34	Professional		$522.08	$888.43	$1,343.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $629.02 / $1,024.41 / $1,753.48	Professional		$629.02	$1,024.41	$1,753.48
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 $630.33 / $778.79 / $902.30	Professional		$630.33	$778.79	$902.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,020.30	Professional		$32.34	$32.34	$1,020.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.04 / $1,012.45 / $2,235.38	Professional		$544.04	$1,012.45	$2,235.38