Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $5,888.44	Facility		$933.25	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,905.46	Professional		$616.60	$933.25	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $16,982.44	Facility		$1,995.26	$2,691.53	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $1,778.28	Professional		$870.96	$1,479.11	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,584.89	Professional		$575.44	$1,047.13	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,258.93 / $1,659.59	Professional		$426.58	$1,258.93	$1,659.59
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 $912.01 / $933.25 / $1,230.27	Professional		$912.01	$933.25	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,548.82	Professional		$562.34	$831.76	$1,548.82