Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.33 / $2,118.00 / $5,405.00	Facility		$879.33	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.04 / $879.33 / $1,485.83	Professional		$781.04	$879.33	$1,485.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,300.82 / $8,920.23 / $20,751.12	Facility		$4,300.82	$8,920.23	$20,751.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.94 / $1,471.15 / $1,624.58	Professional		$986.94	$1,471.15	$1,624.58
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 $824.10 / $1,122.33 / $1,636.13	Professional		$824.10	$1,122.33	$1,636.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $840.92 / $1,307.30 / $3,396.17	Professional		$840.92	$1,307.30	$3,396.17
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 $933.31 / $993.81 / $1,080.76	Professional		$933.31	$993.81	$1,080.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,247.03	Professional		$32.34	$32.34	$1,247.03
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 $821.04 / $1,133.45 / $1,848.25	Professional		$821.04	$1,133.45	$1,848.25