Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.19 / $1,797.58 / $5,549.00	Facility		$951.19	$1,797.58	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.22 / $951.19 / $1,675.07	Professional		$700.22	$951.19	$1,675.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,718.42 / $12,231.92 / $24,494.41	Facility		$5,718.42	$12,231.92	$24,494.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.63 / $1,514.88 / $1,678.18	Professional		$1,017.63	$1,514.88	$1,678.18
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 $919.94 / $1,393.25 / $1,945.06	Professional		$919.94	$1,393.25	$1,945.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $999.36 / $1,553.55 / $3,919.29	Professional		$999.36	$1,553.55	$3,919.29
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 $1,005.71 / $1,181.06 / $1,341.65	Professional		$1,005.71	$1,181.06	$1,341.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,548.06	Professional		$32.34	$32.34	$1,548.06
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 $872.53 / $1,246.06 / $2,399.69	Professional		$872.53	$1,246.06	$2,399.69