Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $5,888.44	Facility		$912.01	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,905.46	Professional		$707.95	$912.01	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $17,378.01	Facility		$4,168.69	$5,128.61	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,862.09	Professional		$977.24	$1,348.96	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,737.80	Professional		$776.25	$1,148.15	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $4,073.80	Professional		$912.01	$1,445.44	$4,073.80
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 / $1,000.00 / $1,288.25	Professional		$912.01	$1,000.00	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $5,011.87	Facility		$1,096.48	$2,691.53	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,737.80	Professional		$741.31	$1,000.00	$1,737.80