Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.58 / $1,972.00 / $5,393.00	Facility		$965.58	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.83 / $965.58 / $1,972.41	Professional		$709.83	$965.58	$1,972.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,375.02 / $9,809.49 / $22,819.80	Facility		$4,375.02	$9,809.49	$22,819.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.26 / $1,384.85 / $1,576.75	Professional		$1,131.26	$1,384.85	$1,576.75
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 $997.44 / $1,415.86 / $1,944.25	Professional		$997.44	$1,415.86	$1,944.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.30 / $1,573.19 / $3,660.78	Professional		$1,014.30	$1,573.19	$3,660.78
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 $994.57 / $1,198.72 / $1,363.43	Professional		$994.57	$1,198.72	$1,363.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,573.19	Professional		$32.34	$32.34	$1,573.19
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $934.13 / $1,261.03 / $2,003.83	Professional		$934.13	$1,261.03	$2,003.83