Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $11,896.90 / $11,896.90	Facility		$130.19	$11,896.90	$11,896.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.50 / $1,571.07 / $3,634.99	Professional		$750.50	$1,571.07	$3,634.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.09 / $6,835.36 / $17,873.90	Facility		$1,755.09	$6,835.36	$17,873.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.30 / $898.70 / $1,040.39	Professional		$800.30	$898.70	$1,040.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.79 / $2,047.78 / $7,463.18	Facility		$1,380.79	$2,047.78	$7,463.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.12 / $761.12 / $1,318.17	Professional		$761.12	$761.12	$1,318.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $764.97 / $1,224.46 / $7,022.94	Professional		$764.97	$1,224.46	$7,022.94
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 $898.70 / $947.10 / $1,040.39	Professional		$898.70	$947.10	$1,040.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $850.85 / $850.85 / $2,551.02	Facility		$850.85	$850.85	$2,551.02
United Facility/Professional Professional Modifier Low / Median / High Price $772.14 / $1,084.08 / $1,700.82	Professional		$772.14	$1,084.08	$1,700.82