Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.43 / $2,118.00 / $5,430.00	Facility		$800.43	$2,118.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.52 / $841.03 / $1,412.82	Professional		$710.52	$841.03	$1,412.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,929.91 / $9,200.75 / $18,889.23	Facility		$4,929.91	$9,200.75	$18,889.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.65 / $897.65 / $1,338.06	Professional		$897.65	$897.65	$1,338.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.62 / $1,028.38 / $1,487.76	Professional		$771.62	$1,028.38	$1,487.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $764.67 / $1,198.94 / $3,095.13	Professional		$764.67	$1,198.94	$3,095.13
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 $850.17 / $903.70 / $982.98	Professional		$850.17	$903.70	$982.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,134.21	Professional		$32.34	$32.34	$1,134.21
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 $763.25 / $969.29 / $1,875.88	Professional		$763.25	$969.29	$1,875.88