Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.31 / $1,609.00 / $5,549.00	Facility		$834.31	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.07 / $834.31 / $1,508.33	Professional		$727.07	$834.31	$1,508.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,103.71 / $10,917.04 / $21,861.37	Facility		$5,103.71	$10,917.04	$21,861.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.36 / $1,373.69 / $1,620.93	Professional		$927.36	$1,373.69	$1,620.93
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 $843.39 / $1,213.07 / $1,759.63	Professional		$843.39	$1,213.07	$1,759.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $897.38 / $1,386.86 / $3,634.36	Professional		$897.38	$1,386.86	$3,634.36
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 $972.65 / $1,060.54 / $1,168.14	Professional		$972.65	$1,060.54	$1,168.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,347.86	Professional		$32.34	$32.34	$1,347.86
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 $857.49 / $1,180.75 / $1,928.79	Professional		$857.49	$1,180.75	$1,928.79