Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,824.00 / $6,614.00	Facility		$879.00	$2,824.00	$6,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.07 / $640.67 / $1,165.89	Professional		$541.07	$640.67	$1,165.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,868.60 / $14,981.29	Facility		$2,202.15	$6,868.60	$14,981.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.88 / $1,063.18 / $1,293.75	Professional		$768.88	$1,063.18	$1,293.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,820.98 / $10,111.00	Facility		$875.00	$1,820.98	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.73 / $910.51 / $1,309.69	Professional		$581.73	$910.51	$1,309.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $686.46 / $1,050.24 / $3,538.67	Professional		$686.46	$1,050.24	$3,538.67
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 $743.67 / $801.22 / $892.36	Professional		$743.67	$801.22	$892.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,009.05	Professional		$32.34	$32.34	$1,009.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.64 / $4,342.00 / $8,168.00	Facility		$1,334.64	$4,342.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.87 / $791.88 / $1,422.26	Professional		$572.87	$791.88	$1,422.26