Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.05 / $1,972.00 / $5,393.00	Facility		$715.05	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.05 / $715.05 / $1,397.22	Professional		$623.05	$715.05	$1,397.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,204.55 / $10,560.64 / $16,759.93	Facility		$7,204.55	$10,560.64	$16,759.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.88 / $1,176.58 / $1,388.08	Professional		$874.88	$1,176.58	$1,388.08
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 $698.68 / $1,039.00 / $1,519.90	Professional		$698.68	$1,039.00	$1,519.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $768.47 / $1,187.64 / $3,064.48	Professional		$768.47	$1,187.64	$3,064.48
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 $834.17 / $908.19 / $1,000.52	Professional		$834.17	$908.19	$1,000.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,154.45	Professional		$32.34	$32.34	$1,154.45
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 $743.81 / $1,064.01 / $1,834.13	Professional		$743.81	$1,064.01	$1,834.13