Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.17 / $1,731.00 / $5,389.00	Facility		$840.17	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.69 / $828.06 / $1,358.90	Professional		$692.69	$828.06	$1,358.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,224.72 / $9,209.20 / $18,441.41	Facility		$4,224.72	$9,209.20	$18,441.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.07 / $1,146.78 / $1,417.16	Professional		$962.07	$1,146.78	$1,417.16
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 $740.61 / $1,140.56 / $1,666.97	Professional		$740.61	$1,140.56	$1,666.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $859.80 / $1,326.88 / $3,268.54	Professional		$859.80	$1,326.88	$3,268.54
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 $893.17 / $1,014.68 / $1,140.56	Professional		$893.17	$1,014.68	$1,140.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,289.70	Professional		$32.34	$32.34	$1,289.70
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.08 / $1,023.65 / $1,651.48	Professional		$711.08	$1,023.65	$1,651.48