Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.36 / $1,835.00 / $5,091.00	Facility		$798.36	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.37 / $798.36 / $1,455.84	Professional		$650.37	$798.36	$1,455.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,559.12 / $18,668.55	Facility		$4,295.45	$8,559.12	$18,668.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $955.34 / $1,321.01 / $1,608.59	Professional		$955.34	$1,321.01	$1,608.59
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 $804.62 / $1,151.41 / $1,590.52	Professional		$804.62	$1,151.41	$1,590.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $884.18 / $1,334.76 / $4,067.48	Professional		$884.18	$1,334.76	$4,067.48
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 $921.74 / $996.20 / $1,108.76	Professional		$921.74	$996.20	$1,108.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,253.75	Professional		$32.34	$32.34	$1,253.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.08 / $984.53 / $1,733.76	Professional		$711.08	$984.53	$1,733.76