Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.33 / $1,972.00 / $5,393.00	Facility		$714.33	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.38 / $714.33 / $1,381.55	Professional		$622.38	$714.33	$1,381.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,369.74 / $9,347.04 / $18,717.43	Facility		$4,369.74	$9,347.04	$18,717.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.98 / $1,176.72 / $1,387.86	Professional		$874.98	$1,176.72	$1,387.86
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 $646.34 / $1,039.11 / $1,509.63	Professional		$646.34	$1,039.11	$1,509.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $768.34 / $1,187.43 / $3,685.31	Professional		$768.34	$1,187.43	$3,685.31
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 $835.25 / $908.04 / $1,000.64	Professional		$835.25	$908.04	$1,000.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,154.58	Professional		$32.34	$32.34	$1,154.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.72 / $1,043.76 / $1,647.71	Professional		$742.72	$1,043.76	$1,647.71