Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.43 / $2,784.00 / $7,123.00	Facility		$898.43	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.43 / $917.63 / $1,687.85	Professional		$898.43	$917.63	$1,687.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,570.99 / $14,055.60 / $28,146.33	Facility		$6,570.99	$14,055.60	$28,146.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.99 / $1,743.37 / $1,878.61	Professional		$1,083.99	$1,743.37	$1,878.61
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 $929.75 / $1,277.34 / $1,830.61	Professional		$929.75	$1,277.34	$1,830.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $951.50 / $1,491.84 / $3,696.23	Professional		$951.50	$1,491.84	$3,696.23
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 $1,054.20 / $1,124.50 / $1,221.82	Professional		$1,054.20	$1,124.50	$1,221.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,409.79	Professional		$32.34	$32.34	$1,409.79
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 $953.56 / $1,263.06 / $2,004.61	Professional		$953.56	$1,263.06	$2,004.61