Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,701.95 / $5,091.00	Facility		$923.00	$1,701.95	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.14 / $946.36 / $2,006.73	Professional		$741.14	$946.36	$2,006.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $7,635.25 / $16,653.46	Facility		$2,517.01	$7,635.25	$16,653.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.47 / $1,429.85 / $1,734.26	Professional		$1,006.47	$1,429.85	$1,734.26
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 $733.15 / $1,202.94 / $1,849.71	Professional		$733.15	$1,202.94	$1,849.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $909.67 / $1,467.15 / $3,020.58	Professional		$909.67	$1,467.15	$3,020.58
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 $999.09 / $1,059.24 / $1,391.81	Professional		$999.09	$1,059.24	$1,391.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,573.81	Professional		$32.34	$32.34	$1,573.81
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 $871.47 / $1,239.46 / $2,144.67	Professional		$871.47	$1,239.46	$2,144.67