Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.64 / $1,694.00 / $5,091.00	Facility		$708.64	$1,694.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.95 / $708.64 / $1,294.01	Professional		$585.95	$708.64	$1,294.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,223.35 / $7,419.10 / $16,182.00	Facility		$4,223.35	$7,419.10	$16,182.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.16 / $1,150.82 / $1,315.77	Professional		$888.16	$1,150.82	$1,315.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.15 / $1,015.95 / $1,459.50	Professional		$691.15	$1,015.95	$1,459.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $804.41 / $1,176.50 / $2,826.45	Professional		$804.41	$1,176.50	$2,826.45
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 $829.39 / $894.41 / $995.93	Professional		$829.39	$894.41	$995.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,126.17	Professional		$32.34	$32.34	$1,126.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.65 / $940.68 / $1,544.06	Professional		$661.65	$940.68	$1,544.06