Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.38 / $1,609.00 / $5,549.00	Facility		$705.38	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.38 / $790.31 / $1,352.77	Professional		$705.38	$790.31	$1,352.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,158.99 / $11,035.28 / $22,098.14	Facility		$5,158.99	$11,035.28	$22,098.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.58 / $1,371.18 / $1,475.56	Professional		$852.58	$1,371.18	$1,475.56
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 $754.16 / $1,034.90 / $1,525.29	Professional		$754.16	$1,034.90	$1,525.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $747.36 / $1,182.75 / $2,910.26	Professional		$747.36	$1,182.75	$2,910.26
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 $832.44 / $883.25 / $960.99	Professional		$832.44	$883.25	$960.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,108.83	Professional		$32.34	$32.34	$1,108.83
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 $747.78 / $1,013.80 / $1,663.89	Professional		$747.78	$1,013.80	$1,663.89