Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.78 / $1,808.16 / $7,407.00	Facility		$881.78	$1,808.16	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.09 / $881.78 / $1,572.32	Professional		$757.09	$881.78	$1,572.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,433.91 / $9,665.20 / $19,354.56	Facility		$4,433.91	$9,665.20	$19,354.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,022.68 / $1,225.25 / $1,529.47	Professional		$1,022.68	$1,225.25	$1,529.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $938.15	Facility		$400.00	$785.00	$938.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.03 / $1,250.58 / $1,835.51	Professional		$809.03	$1,250.58	$1,835.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $917.09 / $1,459.01 / $4,100.37	Professional		$917.09	$1,459.01	$4,100.37
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 $949.29 / $1,083.83 / $1,218.58	Professional		$949.29	$1,083.83	$1,218.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,377.95	Professional		$32.34	$32.34	$1,377.95
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.50 / $1,201.14 / $1,930.72	Professional		$836.50	$1,201.14	$1,930.72