Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.53 / $1,731.00 / $5,389.00	Facility		$740.53	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.19 / $740.53 / $1,303.38	Professional		$566.19	$740.53	$1,303.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,269.04 / $9,440.32 / $16,909.97	Facility		$7,269.04	$9,440.32	$16,909.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.78 / $1,169.76 / $1,305.42	Professional		$902.78	$1,169.76	$1,305.42
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 $611.21 / $1,023.90 / $1,463.61	Professional		$611.21	$1,023.90	$1,463.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.52 / $1,160.42 / $3,650.46	Professional		$724.52	$1,160.42	$3,650.46
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 $766.96 / $887.38 / $1,012.32	Professional		$766.96	$887.38	$1,012.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,144.70	Professional		$32.34	$32.34	$1,144.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.26 / $910.50 / $1,561.95	Professional		$626.26	$910.50	$1,561.95