Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,848.00 / $6,726.16	Facility		$624.00	$1,848.00	$6,726.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.98 / $927.90 / $1,676.19	Professional		$727.98	$927.90	$1,676.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $7,543.01 / $16,452.27	Facility		$2,517.01	$7,543.01	$16,452.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $991.12 / $1,181.74 / $1,694.24	Professional		$991.12	$1,181.74	$1,694.24
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 $802.97 / $1,175.30 / $1,834.74	Professional		$802.97	$1,175.30	$1,834.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $919.57 / $1,453.22 / $2,878.27	Professional		$919.57	$1,453.22	$2,878.27
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 $1,014.12 / $1,051.28 / $1,350.34	Professional		$1,014.12	$1,051.28	$1,350.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,558.08	Professional		$32.34	$32.34	$1,558.08
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 $875.86 / $1,248.31 / $2,193.08	Professional		$875.86	$1,248.31	$2,193.08