Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $5,580.00	Facility		$1,017.00	$2,989.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.79 / $784.89 / $1,357.37	Professional		$696.79	$784.89	$1,357.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.57 / $7,962.16 / $18,522.38	Facility		$4,134.57	$7,962.16	$18,522.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.54 / $1,312.55 / $1,449.22	Professional		$880.54	$1,312.55	$1,449.22
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 $756.96 / $1,013.37 / $1,454.37	Professional		$756.96	$1,013.37	$1,454.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $750.15 / $1,186.77 / $3,051.85	Professional		$750.15	$1,186.77	$3,051.85
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 $834.04 / $886.54 / $964.25	Professional		$834.04	$886.54	$964.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,112.59	Professional		$32.34	$32.34	$1,112.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.70 / $1,056.60 / $1,846.02	Professional		$733.70	$1,056.60	$1,846.02