Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.96 / $1,549.66 / $1,824.53	Facility		$694.96	$1,549.66	$1,824.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.32 / $844.68 / $1,549.66	Professional		$655.32	$844.68	$1,549.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,038.23 / $14,506.03 / $31,639.49	Facility		$2,038.23	$14,506.03	$31,639.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,207.92 / $2,656.71 / $3,162.75	Professional		$2,207.92	$2,656.71	$3,162.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.02 / $841.77 / $908.00	Facility		$754.02	$841.77	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.83 / $1,148.94 / $1,791.99	Professional		$788.83	$1,148.94	$1,791.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $923.92 / $1,355.46 / $3,054.77	Professional		$923.92	$1,355.46	$3,054.77
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 $857.92 / $904.57 / $1,197.33	Professional		$857.92	$904.57	$1,197.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,353.90	Professional		$32.34	$32.34	$1,353.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.23 / $1,146.85 / $1,921.72	Professional		$832.23	$1,146.85	$1,921.72