Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.51 / $3,647.00 / $11,321.60	Facility		$988.51	$3,647.00	$11,321.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $5,021.29 / $8,386.34	Professional		$477.10	$5,021.29	$8,386.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,523.80 / $14,964.51 / $30,511.05	Facility		$6,523.80	$14,964.51	$30,511.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.73 / $5,196.14 / $10,661.61	Professional		$615.73	$5,196.14	$10,661.61
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 $589.89 / $1,220.34 / $9,636.51	Professional		$589.89	$1,220.34	$9,636.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $666.12 / $6,788.25 / $15,591.06	Professional		$666.12	$6,788.25	$15,591.06
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 $579.37 / $639.94 / $6,578.51	Professional		$579.37	$639.94	$6,578.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,438.77	Professional		$32.34	$32.34	$7,438.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,035.00 / $11,750.00 / $42,495.00	Facility		$3,035.00	$11,750.00	$42,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,330.08 / $9,169.91 / $15,773.83	Professional		$6,330.08	$9,169.91	$15,773.83