Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.15 / $1,842.00 / $5,984.65	Facility		$998.15	$1,842.00	$5,984.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.31 / $998.15 / $1,679.67	Professional		$814.31	$998.15	$1,679.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,337.35 / $11,416.80 / $22,862.14	Facility		$5,337.35	$11,416.80	$22,862.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.90 / $1,421.00 / $1,733.85	Professional		$1,083.90	$1,421.00	$1,733.85
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 $949.11 / $1,306.35 / $1,919.92	Professional		$949.11	$1,306.35	$1,919.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $949.11 / $1,509.95 / $4,214.17	Professional		$949.11	$1,509.95	$4,214.17
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 $972.69 / $1,121.68 / $1,257.97	Professional		$972.69	$1,121.68	$1,257.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,451.51	Professional		$32.34	$32.34	$1,451.51
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 $909.82 / $1,284.82 / $2,062.01	Professional		$909.82	$1,284.82	$2,062.01