Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.86 / $1,842.00 / $5,549.00	Facility		$863.86	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.03 / $863.86 / $1,423.63	Professional		$722.03	$863.86	$1,423.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,823.32 / $6,297.24 / $14,649.27	Facility		$3,823.32	$6,297.24	$14,649.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.33 / $1,030.78 / $1,199.32	Professional		$861.33	$1,030.78	$1,199.32
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 $768.26 / $1,084.31 / $1,787.83	Professional		$768.26	$1,084.31	$1,787.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $735.76 / $1,142.01 / $3,042.38	Professional		$735.76	$1,142.01	$3,042.38
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 $761.74 / $899.77 / $1,009.66	Professional		$761.74	$899.77	$1,009.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,141.69	Professional		$32.34	$32.34	$1,141.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.09 / $1,121.29 / $1,872.08	Professional		$778.09	$1,121.29	$1,872.08