Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.16 / $1,825.86 / $1,854.06	Facility		$999.16	$1,825.86	$1,854.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.78 / $1,039.42 / $1,948.36	Professional		$750.78	$1,039.42	$1,948.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,162.92 / $13,182.72 / $26,398.39	Facility		$6,162.92	$13,182.72	$26,398.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,171.09 / $1,433.69 / $1,632.29	Professional		$1,171.09	$1,433.69	$1,632.29
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 $1,036.23 / $1,465.73 / $2,052.98	Professional		$1,036.23	$1,465.73	$2,052.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.07 / $1,670.57 / $3,800.41	Professional		$1,050.07	$1,670.57	$3,800.41
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 $1,029.74 / $1,240.99 / $1,411.45	Professional		$1,029.74	$1,240.99	$1,411.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,628.60	Professional		$32.34	$32.34	$1,628.60
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 $944.56 / $1,301.07 / $2,078.34	Professional		$944.56	$1,301.07	$2,078.34