Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.51 / $1,842.00 / $5,549.00	Facility		$919.51	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.40 / $919.51 / $1,471.64	Professional		$768.40	$919.51	$1,471.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,330.93 / $9,957.64 / $23,164.44	Facility		$4,330.93	$9,957.64	$23,164.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $947.98 / $1,695.86 / $1,739.49	Professional		$947.98	$1,695.86	$1,739.49
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 $767.14 / $1,118.04 / $1,637.49	Professional		$767.14	$1,118.04	$1,637.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $735.82 / $1,214.09 / $3,310.05	Professional		$735.82	$1,214.09	$3,310.05
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 $809.09 / $956.57 / $1,073.32	Professional		$809.09	$956.57	$1,073.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,122.85	Professional		$32.34	$32.34	$1,122.85
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 $809.85 / $1,202.77 / $2,004.96	Professional		$809.85	$1,202.77	$2,004.96