Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.97 / $1,609.00 / $5,430.00	Facility		$846.97	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.21 / $846.97 / $1,483.76	Professional		$726.21	$846.97	$1,483.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,258.92 / $9,283.76 / $18,590.72	Facility		$4,258.92	$9,283.76	$18,590.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.32 / $1,152.93 / $1,439.46	Professional		$962.32	$1,152.93	$1,439.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $908.00	Facility		$400.00	$785.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.07 / $1,132.36 / $1,683.62	Professional		$698.07	$1,132.36	$1,683.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $819.60 / $1,303.05 / $2,737.29	Professional		$819.60	$1,303.05	$2,737.29
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 $893.84 / $1,020.06 / $1,146.67	Professional		$893.84	$1,020.06	$1,146.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,296.60	Professional		$32.34	$32.34	$1,296.60
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 $752.77 / $1,031.29 / $1,809.61	Professional		$752.77	$1,031.29	$1,809.61