Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,640.78 / $4,634.00	Facility		$813.00	$1,640.78	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.47 / $823.54 / $1,550.28	Professional		$701.47	$823.54	$1,550.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,574.90 / $18,702.93	Facility		$4,295.45	$8,574.90	$18,702.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.21 / $1,347.10 / $1,858.74	Professional		$974.21	$1,347.10	$1,858.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.36 / $1,237.75 / $1,768.43	Professional		$787.36	$1,237.75	$1,768.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $931.40 / $1,416.75 / $2,932.64	Professional		$931.40	$1,416.75	$2,932.64
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 $919.36 / $1,007.68 / $1,291.55	Professional		$919.36	$1,007.68	$1,291.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,460.45	Professional		$32.34	$32.34	$1,460.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.95 / $1,132.69 / $1,948.14	Professional		$833.95	$1,132.69	$1,948.14