Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.95 / $1,842.00 / $5,549.00	Facility		$951.95	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $951.95 / $1,689.58	Professional		$744.13	$951.95	$1,689.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,673.43 / $12,135.68 / $24,301.69	Facility		$5,673.43	$12,135.68	$24,301.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,342.60 / $1,551.40 / $2,595.30	Professional		$1,342.60	$1,551.40	$2,595.30
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 $857.71 / $1,394.24 / $1,872.70	Professional		$857.71	$1,394.24	$1,872.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $951.80 / $1,476.12 / $3,612.13	Professional		$951.80	$1,476.12	$3,612.13
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 $973.69 / $1,163.01 / $1,342.60	Professional		$973.69	$1,163.01	$1,342.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,549.16	Professional		$32.34	$32.34	$1,549.16
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 $907.49 / $1,357.54 / $2,547.79	Professional		$907.49	$1,357.54	$2,547.79