Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,221.00 / $7,780.00	Facility		$1,048.00	$3,221.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.60 / $838.84 / $1,484.31	Professional		$718.60	$838.84	$1,484.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,218.04 / $9,194.64 / $18,412.25	Facility		$4,218.04	$9,194.64	$18,412.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.02 / $1,142.99 / $1,426.96	Professional		$954.02	$1,142.99	$1,426.96
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 $765.17 / $1,153.81 / $1,696.64	Professional		$765.17	$1,153.81	$1,696.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $855.62 / $1,322.33 / $4,265.12	Professional		$855.62	$1,322.33	$4,265.12
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 $884.57 / $1,011.19 / $1,136.79	Professional		$884.57	$1,011.19	$1,136.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,285.44	Professional		$32.34	$32.34	$1,285.44
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 $775.53 / $1,041.24 / $1,793.84	Professional		$775.53	$1,041.24	$1,793.84