Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.49 / $1,821.97 / $5,549.00	Facility		$936.49	$1,821.97	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.49 / $952.33 / $1,746.48	Professional		$936.49	$952.33	$1,746.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,849.32 / $14,650.96 / $29,338.54	Facility		$6,849.32	$14,650.96	$29,338.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.49 / $1,802.06 / $1,940.73	Professional		$1,120.49	$1,802.06	$1,940.73
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 $971.03 / $1,321.28 / $1,928.47	Professional		$971.03	$1,321.28	$1,928.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $982.96 / $1,528.06 / $3,830.24	Professional		$982.96	$1,528.06	$3,830.24
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 $1,091.85 / $1,161.68 / $1,262.96	Professional		$1,091.85	$1,161.68	$1,262.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,457.27	Professional		$32.34	$32.34	$1,457.27
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 $970.17 / $1,339.63 / $2,084.87	Professional		$970.17	$1,339.63	$2,084.87