Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.84 / $2,784.00 / $7,123.00	Facility		$943.84	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.84 / $964.33 / $1,808.44	Professional		$943.84	$964.33	$1,808.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,903.10 / $14,766.00 / $29,568.91	Facility		$6,903.10	$14,766.00	$29,568.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,139.77 / $1,833.07 / $1,975.32	Professional		$1,139.77	$1,833.07	$1,975.32
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 $990.22 / $1,334.10 / $1,929.68	Professional		$990.22	$1,334.10	$1,929.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.48 / $1,581.15 / $3,880.95	Professional		$1,000.48	$1,581.15	$3,880.95
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 $1,106.83 / $1,182.39 / $1,284.69	Professional		$1,106.83	$1,182.39	$1,284.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,482.33	Professional		$32.34	$32.34	$1,482.33
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 $986.16 / $1,356.61 / $2,108.80	Professional		$986.16	$1,356.61	$2,108.80