Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.59 / $1,609.00 / $5,549.00	Facility		$714.59	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.59 / $732.45 / $1,365.23	Professional		$714.59	$732.45	$1,365.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,226.35 / $9,379.70 / $20,025.02	Facility		$5,226.35	$9,379.70	$20,025.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.43 / $1,383.82 / $1,494.79	Professional		$860.43	$1,383.82	$1,494.79
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 $763.98 / $1,011.06 / $1,593.04	Professional		$763.98	$1,011.06	$1,593.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $757.10 / $1,193.65 / $2,687.50	Professional		$757.10	$1,193.65	$2,687.50
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 $830.01 / $894.75 / $969.84	Professional		$830.01	$894.75	$969.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,119.05	Professional		$32.34	$32.34	$1,119.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.07 / $1,074.14 / $1,613.59	Professional		$768.07	$1,074.14	$1,613.59