Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.01 / $1,272.00 / $4,634.00	Facility		$637.01	$1,272.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.48 / $565.89 / $1,004.62	Professional		$305.48	$565.89	$1,004.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,340.94 / $3,786.23 / $8,169.96	Facility		$2,340.94	$3,786.23	$8,169.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.51 / $976.52 / $1,610.86	Professional		$581.51	$976.52	$1,610.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,799.73 / $2,009.18	Facility		$463.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.22 / $752.40 / $1,486.31	Professional		$393.22	$752.40	$1,486.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $487.57 / $1,221.35 / $2,665.83	Professional		$487.57	$1,221.35	$2,665.83
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 $472.56 / $565.02 / $1,246.58	Professional		$472.56	$565.02	$1,246.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,409.60	Professional		$32.34	$32.34	$1,409.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.73 / $852.67 / $1,341.83	Professional		$575.73	$852.67	$1,341.83