Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.07 / $2,368.00 / $5,549.00	Facility		$769.07	$2,368.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.03 / $769.07 / $1,998.43	Professional		$643.03	$769.07	$1,998.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,788.99 / $8,245.02 / $17,983.43	Facility		$3,788.99	$8,245.02	$17,983.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.66 / $1,270.29 / $1,538.58	Professional		$918.66	$1,270.29	$1,538.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.36 / $1,099.43 / $1,629.48	Professional		$748.36	$1,099.43	$1,629.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $852.57 / $1,282.66 / $2,964.35	Professional		$852.57	$1,282.66	$2,964.35
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 $854.98 / $952.84 / $1,066.20	Professional		$854.98	$952.84	$1,066.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,205.61	Professional		$32.34	$32.34	$1,205.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.40 / $976.13 / $1,661.10	Professional		$727.40	$976.13	$1,661.10