Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.00 / $1,857.17 / $7,578.06	Facility		$941.00	$1,857.17	$7,578.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.37 / $786.80 / $1,570.52	Professional		$665.37	$786.80	$1,570.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $7,327.84 / $15,982.96	Facility		$2,517.01	$7,327.84	$15,982.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.29 / $1,146.17 / $1,391.90	Professional		$961.29	$1,146.17	$1,391.90
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 $698.35 / $1,010.18 / $1,582.95	Professional		$698.35	$1,010.18	$1,582.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $805.86 / $1,305.46 / $2,950.17	Professional		$805.86	$1,305.46	$2,950.17
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 $938.18 / $1,010.18 / $1,115.67	Professional		$938.18	$1,010.18	$1,115.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,287.32	Professional		$32.34	$32.34	$1,287.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.30 / $1,004.17 / $1,778.60	Professional		$730.30	$1,004.17	$1,778.60