Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,292.00 / $5,493.00	Facility		$826.00	$2,292.00	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.60 / $1,035.42 / $1,516.00	Professional		$892.60	$1,035.42	$1,516.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $10,123.25 / $22,080.09	Facility		$2,517.01	$10,123.25	$22,080.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.48 / $1,561.33 / $1,881.42	Professional		$1,309.48	$1,561.33	$1,881.42
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 $783.33 / $1,352.52 / $2,164.08	Professional		$783.33	$1,352.52	$2,164.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.89 / $847.73 / $8,575.17	Professional		$516.89	$847.73	$8,575.17
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 $608.10 / $648.79 / $711.00	Professional		$608.10	$648.79	$711.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $995.75 / $1,411.11 / $2,522.96	Professional		$995.75	$1,411.11	$2,522.96