Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.70 / $1,739.73 / $5,549.00	Facility		$959.70	$1,739.73	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.68 / $959.70 / $1,739.73	Professional		$836.68	$959.70	$1,739.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,870.75 / $12,557.76 / $25,146.91	Facility		$5,870.75	$12,557.76	$25,146.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,176.05 / $1,581.61 / $1,866.72	Professional		$1,176.05	$1,581.61	$1,866.72
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 $941.87 / $1,396.67 / $2,020.28	Professional		$941.87	$1,396.67	$2,020.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.45 / $1,644.13 / $4,192.14	Professional		$1,033.45	$1,644.13	$4,192.14
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 $1,116.54 / $1,221.34 / $1,344.94	Professional		$1,116.54	$1,221.34	$1,344.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,551.86	Professional		$32.34	$32.34	$1,551.86
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $988.86 / $1,285.52 / $2,149.37	Professional		$988.86	$1,285.52	$2,149.37