Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.64 / $1,842.00 / $5,549.00	Facility		$947.64	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $947.64 / $1,379.27	Professional		$650.41	$947.64	$1,379.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,330.93 / $10,262.37 / $23,873.35	Facility		$4,330.93	$10,262.37	$23,873.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.92 / $1,522.73 / $1,807.28	Professional		$984.92	$1,522.73	$1,807.28
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 $584.45 / $1,117.17 / $1,501.15	Professional		$584.45	$1,117.17	$1,501.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $661.86 / $1,191.65 / $3,630.21	Professional		$661.86	$1,191.65	$3,630.21
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 $827.03 / $968.21 / $1,115.14	Professional		$827.03	$968.21	$1,115.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,260.97	Professional		$32.34	$32.34	$1,260.97
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 $653.98 / $859.11 / $1,797.40	Professional		$653.98	$859.11	$1,797.40