Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.33 / $3,270.00 / $14,756.00	Facility		$923.33	$3,270.00	$14,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.86 / $1,997.30 / $11,896.00	Professional		$476.86	$1,997.30	$11,896.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,131.17 / $14,063.87 / $30,511.05	Facility		$6,131.17	$14,063.87	$30,511.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.35 / $6,829.45 / $14,028.24	Professional		$577.35	$6,829.45	$14,028.24
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 $552.49 / $1,253.28 / $11,851.81	Professional		$552.49	$1,253.28	$11,851.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $598.53 / $8,075.32 / $13,316.64	Professional		$598.53	$8,075.32	$13,316.64
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 $537.20 / $598.53 / $8,655.82	Professional		$537.20	$598.53	$8,655.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $9,787.73	Professional		$32.34	$32.34	$9,787.73
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 $7,588.54 / $10,873.92 / $18,823.34	Professional		$7,588.54	$10,873.92	$18,823.34