Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.49 / $1,609.00 / $5,549.00	Facility		$710.49	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $710.49 / $1,280.59	Professional		$622.00	$710.49	$1,280.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,031.86 / $8,624.32 / $17,270.20	Facility		$4,031.86	$8,624.32	$17,270.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.49 / $1,081.00 / $1,375.91	Professional		$848.49	$1,081.00	$1,375.91
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 $737.39 / $1,022.63 / $1,439.26	Professional		$737.39	$1,022.63	$1,439.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $742.78 / $1,158.99 / $2,540.81	Professional		$742.78	$1,158.99	$2,540.81
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 $776.32 / $877.83 / $984.76	Professional		$776.32	$877.83	$984.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,136.27	Professional		$32.34	$32.34	$1,136.27
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.82 / $938.54 / $1,543.75	Professional		$684.82	$938.54	$1,543.75