Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.43 / $1,771.86 / $5,430.00	Facility		$742.43	$1,771.86	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.62 / $743.45 / $1,395.72	Professional		$655.62	$743.45	$1,395.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,480.33 / $10,560.64 / $17,401.49	Facility		$7,480.33	$10,560.64	$17,401.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.95 / $1,235.83 / $1,476.04	Professional		$918.95	$1,235.83	$1,476.04
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 $776.54 / $1,091.33 / $1,579.28	Professional		$776.54	$1,091.33	$1,579.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $817.17 / $1,290.29 / $3,204.12	Professional		$817.17	$1,290.29	$3,204.12
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 $911.22 / $965.74 / $1,050.92	Professional		$911.22	$965.74	$1,050.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,212.59	Professional		$32.34	$32.34	$1,212.59
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 $777.91 / $1,061.63 / $1,677.64	Professional		$777.91	$1,061.63	$1,677.64