Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.28 / $2,952.40 / $10,750.00	Facility		$918.28	$2,952.40	$10,750.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $583.82 / $882.07 / $1,026.31	Facility	52	$583.82	$882.07	$1,026.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,230.73 / $2,276.89	Professional		$907.79	$1,230.73	$2,276.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,369.55 / $11,189.30 / $24,405.27	Facility		$6,369.55	$11,189.30	$24,405.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.66 / $1,743.40 / $1,875.91	Professional		$1,096.66	$1,743.40	$1,875.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,923.00	Facility		$1,855.00	$1,855.00	$1,923.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.98 / $1,443.23 / $2,116.42	Professional		$927.98	$1,443.23	$2,116.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.42 / $1,644.22 / $4,107.12	Professional		$1,066.42	$1,644.22	$4,107.12
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 $1,211.76 / $1,260.31 / $1,389.78	Professional		$1,211.76	$1,260.31	$1,389.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,603.59	Professional		$32.34	$32.34	$1,603.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,998.00 / $11,831.32	Facility		$2,100.00	$5,998.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $984.75 / $1,358.00 / $2,617.31	Professional		$984.75	$1,358.00	$2,617.31