Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.80 / $3,906.56 / $11,520.00	Facility		$1,137.80	$3,906.56	$11,520.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $366.76 / $689.25 / $689.25	Facility	52	$366.76	$689.25	$689.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.52 / $869.07 / $1,674.22	Professional		$733.52	$869.07	$1,674.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,364.80 / $9,424.27 / $20,555.52	Facility		$5,364.80	$9,424.27	$20,555.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.45 / $1,424.06 / $1,676.67	Professional		$885.45	$1,424.06	$1,676.67
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 $726.78 / $1,068.04 / $1,637.35	Professional		$726.78	$1,068.04	$1,637.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $777.10 / $1,228.34 / $3,762.85	Professional		$777.10	$1,228.34	$3,762.85
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 $861.64 / $918.39 / $998.04	Professional		$861.64	$918.39	$998.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,151.58	Professional		$32.34	$32.34	$1,151.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.49 / $1,151.94 / $1,695.08	Professional		$780.49	$1,151.94	$1,695.08