Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.95 / $1,609.00 / $5,549.00	Facility		$817.95	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.16 / $817.95 / $1,450.31	Professional		$640.16	$817.95	$1,450.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,874.79 / $10,427.36 / $20,880.78	Facility		$4,874.79	$10,427.36	$20,880.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.96 / $1,335.73 / $2,234.51	Professional		$1,155.96	$1,335.73	$2,234.51
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 $738.56 / $1,200.42 / $1,618.44	Professional		$738.56	$1,200.42	$1,618.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $816.64 / $1,272.25 / $3,129.18	Professional		$816.64	$1,272.25	$3,129.18
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 $846.20 / $1,002.38 / $1,155.96	Professional		$846.20	$1,002.38	$1,155.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,333.80	Professional		$32.34	$32.34	$1,333.80
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.65 / $1,166.57 / $1,757.60	Professional		$776.65	$1,166.57	$1,757.60