Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.40 / $1,326.00 / $5,091.00	Facility		$696.40	$1,326.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.62 / $873.96 / $1,367.36	Professional		$624.62	$873.96	$1,367.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.39 / $6,560.53 / $14,309.36	Facility		$3,019.39	$6,560.53	$14,309.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.50 / $1,104.42 / $1,280.53	Professional		$711.50	$1,104.42	$1,280.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.70 / $935.34 / $1,347.66	Professional		$607.70	$935.34	$1,347.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $591.82 / $1,037.05 / $2,807.03	Professional		$591.82	$1,037.05	$2,807.03
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 $751.01 / $759.97 / $961.70	Professional		$751.01	$759.97	$961.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,087.46	Professional		$32.34	$32.34	$1,087.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.35 / $888.73 / $1,546.00	Professional		$674.35	$888.73	$1,546.00