Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.86 / $1,736.91 / $5,549.00	Facility		$887.86	$1,736.91	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.86 / $906.69 / $1,664.37	Professional		$887.86	$906.69	$1,664.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,493.64 / $13,890.16 / $27,815.04	Facility		$6,493.64	$13,890.16	$27,815.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.07 / $1,072.07 / $1,724.19	Professional		$1,072.07	$1,072.07	$1,724.19
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 $916.78 / $1,254.85 / $1,800.81	Professional		$916.78	$1,254.85	$1,800.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $940.65 / $1,462.29 / $3,649.14	Professional		$940.65	$1,462.29	$3,649.14
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 $1,043.93 / $1,111.68 / $1,208.39	Professional		$1,043.93	$1,111.68	$1,208.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,394.30	Professional		$32.34	$32.34	$1,394.30
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 $926.68 / $1,273.49 / $1,977.40	Professional		$926.68	$1,273.49	$1,977.40