Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $2,732.29 / $3,631.99	Facility		$960.00	$2,732.29	$3,631.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $2,306.62 / $2,643.59	Professional		$960.00	$2,306.62	$2,643.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.09 / $8,107.38 / $21,200.12	Facility		$1,755.09	$8,107.38	$21,200.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.23 / $1,066.20 / $1,234.00	Professional		$949.23	$1,066.20	$1,234.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.82 / $2,223.56 / $8,677.96	Facility		$1,401.82	$2,223.56	$8,677.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,563.50 / $1,563.50 / $1,563.50	Professional		$1,563.50	$1,563.50	$1,563.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $845.52 / $1,423.85 / $6,303.97	Professional		$845.52	$1,423.85	$6,303.97
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 $1,066.20 / $1,123.97 / $1,234.00	Professional		$1,066.20	$1,123.97	$1,234.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,912.21 / $2,991.65 / $4,448.67	Facility		$1,912.21	$2,991.65	$4,448.67
United Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $1,099.01 / $1,754.82	Professional		$107.98	$1,099.01	$1,754.82