Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.29 / $1,609.00 / $5,549.00	Facility		$786.29	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.29 / $802.16 / $1,472.18	Professional		$786.29	$802.16	$1,472.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,494.10 / $9,471.92 / $22,034.52	Facility		$4,494.10	$9,471.92	$22,034.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.06 / $1,526.91 / $1,644.01	Professional		$873.06	$1,526.91	$1,644.01
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 $840.25 / $1,111.28 / $1,618.49	Professional		$840.25	$1,111.28	$1,618.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $832.68 / $1,317.07 / $3,694.41	Professional		$832.68	$1,317.07	$3,694.41
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 $924.33 / $984.07 / $1,070.11	Professional		$924.33	$984.07	$1,070.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,234.76	Professional		$32.34	$32.34	$1,234.76
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.58 / $1,147.85 / $1,747.73	Professional		$827.58	$1,147.85	$1,747.73