Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.78 / $1,661.44 / $5,549.00	Facility		$848.78	$1,661.44	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.78 / $875.59 / $1,593.16	Professional		$848.78	$875.59	$1,593.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,207.83 / $13,278.80 / $26,590.79	Facility		$6,207.83	$13,278.80	$26,590.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.18 / $1,647.16 / $1,774.48	Professional		$1,024.18	$1,647.16	$1,774.48
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 $877.09 / $1,198.80 / $1,722.87	Professional		$877.09	$1,198.80	$1,722.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $898.77 / $1,397.17 / $3,525.99	Professional		$898.77	$1,397.17	$3,525.99
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 $998.75 / $1,062.18 / $1,154.40	Professional		$998.75	$1,062.18	$1,154.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,332.00	Professional		$32.34	$32.34	$1,332.00
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 $900.57 / $1,227.93 / $1,889.05	Professional		$900.57	$1,227.93	$1,889.05