Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,019.74 / $5,549.00	Facility		$813.00	$2,019.74	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.03 / $945.38 / $1,666.75	Professional		$733.03	$945.38	$1,666.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $7,316.68 / $15,958.60	Facility		$2,517.01	$7,316.68	$15,958.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $1,192.85 / $1,691.34	Professional		$960.78	$1,192.85	$1,691.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.95 / $1,157.97 / $1,822.37	Professional		$833.95	$1,157.97	$1,822.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $934.29 / $1,451.51 / $3,038.52	Professional		$934.29	$1,451.51	$3,038.52
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 $978.17 / $1,018.50 / $1,349.53	Professional		$978.17	$1,018.50	$1,349.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,557.15	Professional		$32.34	$32.34	$1,557.15
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 $872.29 / $1,237.97 / $2,185.05	Professional		$872.29	$1,237.97	$2,185.05