Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.96 / $1,694.00 / $5,186.66	Facility		$773.96	$1,694.00	$5,186.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.33 / $773.96 / $1,349.02	Professional		$611.33	$773.96	$1,349.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,521.28 / $8,469.20 / $15,170.45	Facility		$6,521.28	$8,469.20	$15,170.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.44 / $1,084.70 / $1,597.54	Professional		$784.44	$1,084.70	$1,597.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $5,676.58 / $6,337.22	Facility		$620.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.35 / $1,039.93 / $1,634.24	Professional		$709.35	$1,039.93	$1,634.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $837.14 / $1,217.66 / $2,454.35	Professional		$837.14	$1,217.66	$2,454.35
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 $806.08 / $835.95 / $1,082.48	Professional		$806.08	$835.95	$1,082.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,224.04	Professional		$32.34	$32.34	$1,224.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.91 / $1,115.11 / $1,768.82	Professional		$793.91	$1,115.11	$1,768.82