Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,848.00 / $5,393.00	Facility		$813.00	$1,848.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $816.29 / $1,416.95	Professional		$620.00	$816.29	$1,416.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,691.21 / $14,594.38	Facility		$2,517.01	$6,691.21	$14,594.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.01 / $1,026.59 / $1,468.98	Professional		$861.01	$1,026.59	$1,468.98
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 $730.47 / $1,037.72 / $1,591.70	Professional		$730.47	$1,037.72	$1,591.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $813.62 / $1,265.63 / $3,327.33	Professional		$813.62	$1,265.63	$3,327.33
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 $858.12 / $909.27 / $1,175.23	Professional		$858.12	$909.27	$1,175.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,356.03	Professional		$32.34	$32.34	$1,356.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,465.00 / $4,780.00	Facility		$1,250.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.29 / $1,147.09 / $1,969.70	Professional		$808.29	$1,147.09	$1,969.70