Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.28 / $1,842.00 / $5,549.00	Facility		$1,036.28	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.43 / $1,036.28 / $1,708.18	Professional		$866.43	$1,036.28	$1,708.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,586.47 / $9,810.64 / $19,645.80	Facility		$4,586.47	$9,810.64	$19,645.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.69 / $1,238.83 / $1,441.66	Professional		$922.69	$1,238.83	$1,441.66
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 $915.18 / $1,261.15 / $2,113.48	Professional		$915.18	$1,261.15	$2,113.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $883.29 / $1,383.65 / $3,509.49	Professional		$883.29	$1,383.65	$3,509.49
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 $920.82 / $1,081.57 / $1,213.46	Professional		$920.82	$1,081.57	$1,213.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,372.14	Professional		$32.34	$32.34	$1,372.14
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.98 / $1,369.81 / $2,257.82	Professional		$911.98	$1,369.81	$2,257.82