Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.98 / $2,157.00 / $5,393.00	Facility		$724.98	$2,157.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.46 / $724.98 / $1,235.45	Professional		$624.46	$724.98	$1,235.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $7,772.44 / $16,952.66	Facility		$4,295.45	$7,772.44	$16,952.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.56 / $1,163.68 / $1,416.08	Professional		$841.56	$1,163.68	$1,416.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.05 / $1,014.28 / $1,443.30	Professional		$721.05	$1,014.28	$1,443.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $788.89 / $1,180.55 / $2,694.75	Professional		$788.89	$1,180.55	$2,694.75
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 $848.98 / $876.98 / $976.72	Professional		$848.98	$876.98	$976.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,104.44	Professional		$32.34	$32.34	$1,104.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.49 / $890.96 / $1,462.07	Professional		$641.49	$890.96	$1,462.07