Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.35 / $1,823.22 / $5,549.00	Facility		$932.35	$1,823.22	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.35 / $951.97 / $1,786.01	Professional		$932.35	$951.97	$1,786.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,819.06 / $14,586.24 / $29,208.94	Facility		$6,819.06	$14,586.24	$29,208.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.61 / $1,810.32 / $1,950.18	Professional		$1,125.61	$1,810.32	$1,950.18
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 $983.51 / $1,326.63 / $1,920.19	Professional		$983.51	$1,326.63	$1,920.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $987.76 / $1,540.92 / $3,841.10	Professional		$987.76	$1,540.92	$3,841.10
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 $1,095.33 / $1,167.34 / $1,268.75	Professional		$1,095.33	$1,167.34	$1,268.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,463.94	Professional		$32.34	$32.34	$1,463.94
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 $981.73 / $1,292.19 / $2,077.25	Professional		$981.73	$1,292.19	$2,077.25