Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.13 / $1,609.00 / $5,549.00	Facility		$776.13	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.13 / $822.78 / $1,471.21	Professional		$776.13	$822.78	$1,471.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,676.49 / $12,142.24 / $24,314.83	Facility		$5,676.49	$12,142.24	$24,314.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.58 / $1,506.29 / $1,622.29	Professional		$936.58	$1,506.29	$1,622.29
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 $806.76 / $1,096.27 / $1,576.41	Professional		$806.76	$1,096.27	$1,576.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $821.68 / $1,286.97 / $3,774.10	Professional		$821.68	$1,286.97	$3,774.10
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 $912.96 / $971.07 / $1,055.67	Professional		$912.96	$971.07	$1,055.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,218.08	Professional		$32.34	$32.34	$1,218.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.36 / $1,139.42 / $2,021.08	Professional		$816.36	$1,139.42	$2,021.08