Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.95 / $2,989.00 / $7,407.00	Facility		$385.95	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $351.62 / $413.62	Professional		$317.42	$351.62	$413.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.56 / $1,189.97 / $10,678.48	Facility		$776.56	$1,189.97	$10,678.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $512.38 / $641.76	Professional		$284.58	$512.38	$641.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.44 / $10,808.56 / $20,680.37	Facility		$165.44	$10,808.56	$20,680.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.77 / $467.10 / $655.21	Professional		$323.77	$467.10	$655.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $494.21 / $949.11	Professional		$345.40	$494.21	$949.11
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 $371.37 / $404.70 / $468.96	Professional		$371.37	$404.70	$468.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,528.00 / $14,716.00	Facility		$1,602.00	$7,528.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.66 / $475.04 / $798.16	Professional		$340.66	$475.04	$798.16