Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $4,131.27 / $9,657.00	Facility		$924.00	$4,131.27	$9,657.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $924.00 / $1,097.25	Professional		$924.00	$924.00	$1,097.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $785.53 / $7,095.60 / $15,476.40	Facility		$785.53	$7,095.60	$15,476.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.00 / $1,155.00 / $1,155.00	Professional		$1,155.00	$1,155.00	$1,155.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $932.66 / $1,536.15 / $2,427.19	Professional		$932.66	$1,536.15	$2,427.19
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 $1,426.43 / $1,426.43 / $1,426.43	Professional		$1,426.43	$1,426.43	$1,426.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,093.73	Professional		$962.50	$962.50	$1,093.73