Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.20 / $1,856.00 / $3,027.60	Facility		$951.20	$1,856.00	$3,027.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.20 / $951.20 / $1,474.36	Professional		$893.20	$951.20	$1,474.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,531.20 / $4,876.87 / $16,908.27	Facility		$1,531.20	$4,876.87	$16,908.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $800.40 / $893.20	Professional		$3.50	$800.40	$893.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.30 / $2,539.38 / $5,339.81	Facility		$1,470.30	$2,539.38	$5,339.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.30 / $1,412.72 / $1,957.93	Professional		$593.30	$1,412.72	$1,957.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.20 / $1,856.00 / $2,836.43	Professional		$1,183.20	$1,856.00	$2,836.43
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 $1,508.00 / $1,508.00 / $1,508.00	Professional		$1,508.00	$1,508.00	$1,508.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,577.60 / $1,577.60 / $1,740.00	Professional		$1,577.60	$1,577.60	$1,740.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,218.00 / $2,865.20	Facility		$1,160.00	$1,218.00	$2,865.20
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,160.00	Professional		$487.20	$696.00	$1,160.00