Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.39 / $1,842.00 / $5,549.00	Facility		$979.39	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.04 / $986.63 / $1,803.83	Professional		$977.04	$986.63	$1,803.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,163.10 / $15,322.16 / $30,682.62	Facility		$7,163.10	$15,322.16	$30,682.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.76 / $1,849.14 / $1,992.10	Professional		$1,149.76	$1,849.14	$1,992.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.36 / $1,354.91 / $1,954.45	Professional		$977.36	$1,354.91	$1,954.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.99 / $1,568.51 / $3,946.14	Professional		$1,008.99	$1,568.51	$3,946.14
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 $1,118.49 / $1,192.44 / $1,295.96	Professional		$1,118.49	$1,192.44	$1,295.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,495.34	Professional		$32.34	$32.34	$1,495.34
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.46 / $1,415.60 / $2,150.71	Professional		$1,024.46	$1,415.60	$2,150.71