Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.58 / $1,609.00 / $5,549.00	Facility		$944.58	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.33 / $944.58 / $1,534.51	Professional		$730.33	$944.58	$1,534.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,152.74 / $11,021.92 / $22,071.39	Facility		$5,152.74	$11,021.92	$22,071.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.87 / $1,451.55 / $1,535.77	Professional		$1,006.87	$1,451.55	$1,535.77
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 $880.99 / $1,201.63 / $1,691.18	Professional		$880.99	$1,201.63	$1,691.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $873.05 / $1,362.19 / $3,384.74	Professional		$873.05	$1,362.19	$3,384.74
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 $906.10 / $1,031.78 / $1,157.13	Professional		$906.10	$1,031.78	$1,157.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,335.15	Professional		$32.34	$32.34	$1,335.15
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 $830.78 / $1,209.91 / $1,956.59	Professional		$830.78	$1,209.91	$1,956.59