Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $3,774.44 / $14,922.57	Facility		$813.00	$3,774.44	$14,922.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.23 / $1,297.27 / $7,822.51	Professional		$465.23	$1,297.27	$7,822.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,512.02 / $11,963.60 / $19,269.27	Facility		$5,512.02	$11,963.60	$19,269.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $1,614.95 / $9,123.83	Professional		$515.53	$1,614.95	$9,123.83
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 $493.89 / $1,150.09 / $7,578.38	Professional		$493.89	$1,150.09	$7,578.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $535.83 / $5,629.66 / $10,610.61	Professional		$535.83	$5,629.66	$10,610.61
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 $484.87 / $535.83 / $5,629.66	Professional		$484.87	$535.83	$5,629.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,365.85	Professional		$32.34	$32.34	$6,365.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,890.80 / $6,793.41 / $12,172.92	Professional		$4,890.80	$6,793.41	$12,172.92