Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.56 / $1,842.00 / $5,389.00	Facility		$801.56	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.56 / $818.74 / $1,504.53	Professional		$801.56	$818.74	$1,504.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,862.48 / $9,856.64 / $22,462.41	Facility		$5,862.48	$9,856.64	$22,462.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,556.63 / $1,832.04 / $1,832.04	Professional		$1,556.63	$1,832.04	$1,832.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.39 / $1,132.91 / $1,651.16	Professional		$841.39	$1,132.91	$1,651.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $849.11 / $1,342.70 / $3,301.43	Professional		$849.11	$1,342.70	$3,301.43
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 $942.63 / $1,003.50 / $1,090.95	Professional		$942.63	$1,003.50	$1,090.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,258.79	Professional		$32.34	$32.34	$1,258.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,000.00 / $8,981.00	Facility		$1,600.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.60 / $1,097.71 / $1,784.52	Professional		$848.60	$1,097.71	$1,784.52