Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.64 / $1,609.00 / $5,549.00	Facility		$816.64	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.68 / $816.64 / $1,472.99	Professional		$711.68	$816.64	$1,472.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,995.59 / $10,685.76 / $21,398.23	Facility		$4,995.59	$10,685.76	$21,398.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.48 / $1,344.15 / $1,586.07	Professional		$999.48	$1,344.15	$1,586.07
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 $816.56 / $1,186.98 / $1,716.96	Professional		$816.56	$1,186.98	$1,716.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $878.09 / $1,357.04 / $3,556.99	Professional		$878.09	$1,357.04	$3,556.99
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 $951.69 / $1,037.74 / $1,143.01	Professional		$951.69	$1,037.74	$1,143.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,318.86	Professional		$32.34	$32.34	$1,318.86
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 $850.99 / $1,187.38 / $1,888.42	Professional		$850.99	$1,187.38	$1,888.42