Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.38 / $1,609.00 / $5,549.00	Facility		$861.38	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.13 / $861.38 / $1,380.30	Professional		$666.13	$861.38	$1,380.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,698.89 / $10,051.12 / $20,127.36	Facility		$4,698.89	$10,051.12	$20,127.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.48 / $1,324.13 / $1,400.44	Professional		$918.48	$1,324.13	$1,400.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.36 / $1,096.15 / $1,542.73	Professional		$803.36	$1,096.15	$1,542.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $796.13 / $1,242.30 / $3,033.40	Professional		$796.13	$1,242.30	$3,033.40
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 $833.64 / $940.88 / $1,055.55	Professional		$833.64	$940.88	$1,055.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,217.94	Professional		$32.34	$32.34	$1,217.94
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.88 / $1,026.24 / $1,780.29	Professional		$757.88	$1,026.24	$1,780.29