Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.73 / $1,835.00 / $5,091.00	Facility		$697.73	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.35 / $697.73 / $1,370.94	Professional		$575.35	$697.73	$1,370.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,158.35 / $8,894.87 / $17,811.99	Facility		$4,158.35	$8,894.87	$17,811.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.73 / $1,125.34 / $1,289.61	Professional		$855.73	$1,125.34	$1,289.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.57 / $1,011.35 / $1,490.54	Professional		$697.57	$1,011.35	$1,490.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $788.11 / $1,180.09 / $2,855.86	Professional		$788.11	$1,180.09	$2,855.86
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 $782.08 / $876.64 / $973.90	Professional		$782.08	$876.64	$973.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,101.25	Professional		$32.34	$32.34	$1,101.25
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.56 / $983.92 / $1,581.70	Professional		$669.56	$983.92	$1,581.70