Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.13 / $1,609.00 / $5,430.00	Facility		$828.13	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.01 / $828.13 / $1,433.75	Professional		$711.01	$828.13	$1,433.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,164.16 / $9,077.20 / $18,177.09	Facility		$4,164.16	$9,077.20	$18,177.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.77 / $1,131.21 / $1,430.96	Professional		$956.77	$1,131.21	$1,430.96
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 $744.10 / $1,120.63 / $1,644.34	Professional		$744.10	$1,120.63	$1,644.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $846.89 / $1,308.83 / $3,195.07	Professional		$846.89	$1,308.83	$3,195.07
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 $878.68 / $1,000.87 / $1,125.07	Professional		$878.68	$1,000.87	$1,125.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,272.20	Professional		$32.34	$32.34	$1,272.20
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 $748.43 / $1,017.98 / $1,824.88	Professional		$748.43	$1,017.98	$1,824.88