Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.32 / $1,363.00 / $5,091.00	Facility		$280.32	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $290.05 / $1,979.05	Professional		$144.47	$290.05	$1,979.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,434.84 / $3,179.49 / $6,407.48	Facility		$1,434.84	$3,179.49	$6,407.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $890.72 / $1,851.76	Professional		$120.04	$890.72	$1,851.76
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 $133.96 / $951.12 / $1,927.14	Professional		$133.96	$951.12	$1,927.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $1,458.00 / $3,146.09	Professional		$129.09	$1,458.00	$3,146.09
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 $124.77 / $129.09 / $1,423.83	Professional		$124.77	$129.09	$1,423.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,610.02	Professional		$32.34	$32.34	$1,610.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,530.00 / $8,995.00	Facility		$1,152.00	$4,530.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.78 / $1,608.35 / $2,507.23	Professional		$1,204.78	$1,608.35	$2,507.23