Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.99 / $1,618.98 / $5,430.00	Facility		$917.99	$1,618.98	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.97 / $911.38 / $1,618.98	Professional		$740.97	$911.38	$1,618.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,616.01 / $10,062.16 / $20,149.47	Facility		$4,616.01	$10,062.16	$20,149.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.85 / $1,253.01 / $1,564.53	Professional		$1,045.85	$1,253.01	$1,564.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $970.76	Facility		$400.00	$785.00	$970.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.14 / $1,230.34 / $1,830.44	Professional		$811.14	$1,230.34	$1,830.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $920.46 / $1,431.62 / $4,167.16	Professional		$920.46	$1,431.62	$4,167.16
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 $970.80 / $1,108.68 / $1,246.21	Professional		$970.80	$1,108.68	$1,246.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,409.17	Professional		$32.34	$32.34	$1,409.17
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.06 / $1,147.25 / $1,911.78	Professional		$816.06	$1,147.25	$1,911.78