Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.15 / $1,609.00 / $5,549.00	Facility		$720.15	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.15 / $734.48 / $1,345.56	Professional		$720.15	$734.48	$1,345.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,267.07 / $11,266.48 / $22,561.12	Facility		$5,267.07	$11,266.48	$22,561.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.70 / $1,397.12 / $1,503.97	Professional		$868.70	$1,397.12	$1,503.97
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 $742.02 / $1,016.82 / $1,459.34	Professional		$742.02	$1,016.82	$1,459.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $761.75 / $1,187.69 / $2,970.02	Professional		$761.75	$1,187.69	$2,970.02
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 $847.12 / $900.25 / $979.16	Professional		$847.12	$900.25	$979.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,024.34	Professional		$32.34	$32.34	$1,024.34
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 $743.08 / $1,027.89 / $1,596.60	Professional		$743.08	$1,027.89	$1,596.60