Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.97 / $1,848.00 / $5,389.00	Facility		$782.97	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.48 / $859.21 / $1,233.36	Professional		$690.48	$859.21	$1,233.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,520.60 / $7,376.13 / $16,088.29	Facility		$4,520.60	$7,376.13	$16,088.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,105.03 / $1,105.03 / $1,199.78	Professional		$1,105.03	$1,105.03	$1,199.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.10 / $890.60 / $1,279.26	Professional		$629.10	$890.60	$1,279.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $611.96 / $1,016.10 / $3,471.16	Professional		$611.96	$1,016.10	$3,471.16
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 $825.58 / $829.47 / $904.90	Professional		$825.58	$829.47	$904.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,023.24	Professional		$32.34	$32.34	$1,023.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.79 / $755.13 / $1,321.55	Professional		$547.79	$755.13	$1,321.55