Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.82 / $1,972.74 / $5,393.00	Facility		$904.82	$1,972.74	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.92 / $1,231.34 / $1,993.88	Professional		$854.92	$1,231.34	$1,993.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,636.55 / $9,421.87 / $17,765.18	Facility		$4,636.55	$9,421.87	$17,765.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.58 / $1,385.03 / $2,046.49	Professional		$1,030.58	$1,385.03	$2,046.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.88 / $1,491.98 / $2,198.96	Professional		$925.88	$1,491.98	$2,198.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.43 / $1,743.22 / $4,060.74	Professional		$1,027.43	$1,743.22	$4,060.74
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 $1,024.19 / $1,105.72 / $1,645.70	Professional		$1,024.19	$1,105.72	$1,645.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,898.88	Professional		$32.34	$32.34	$1,898.88
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.96 / $1,502.51 / $2,715.72	Professional		$1,120.96	$1,502.51	$2,715.72