Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.82 / $2,824.00 / $5,580.00	Facility		$848.82	$2,824.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.47 / $848.82 / $1,740.08	Professional		$744.47	$848.82	$1,740.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,788.99 / $8,269.06 / $18,035.88	Facility		$3,788.99	$8,269.06	$18,035.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.54 / $1,324.67 / $1,939.47	Professional		$974.54	$1,324.67	$1,939.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.01 / $1,149.56 / $1,718.18	Professional		$797.01	$1,149.56	$1,718.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $903.28 / $1,447.91 / $3,930.77	Professional		$903.28	$1,447.91	$3,930.77
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 $1,062.69 / $1,131.05 / $1,254.84	Professional		$1,062.69	$1,131.05	$1,254.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,447.91	Professional		$32.34	$32.34	$1,447.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,620.00 / $6,514.00	Facility		$1,981.00	$3,620.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.01 / $1,108.31 / $2,000.14	Professional		$811.01	$1,108.31	$2,000.14