Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.81 / $2,053.77 / $5,393.00	Facility		$931.81	$2,053.77	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.19 / $1,089.28 / $1,876.21	Professional		$841.19	$1,089.28	$1,876.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,846.66 / $9,077.50 / $19,799.18	Facility		$4,846.66	$9,077.50	$19,799.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.46 / $1,426.09 / $1,920.42	Professional		$1,184.46	$1,426.09	$1,920.42
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 $977.36 / $1,366.69 / $2,077.59	Professional		$977.36	$1,366.69	$2,077.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.68 / $1,715.39 / $3,820.73	Professional		$1,063.68	$1,715.39	$3,820.73
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 $1,180.30 / $1,249.56 / $1,536.43	Professional		$1,180.30	$1,249.56	$1,536.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,772.81	Professional		$32.34	$32.34	$1,772.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.10 / $1,410.54 / $2,449.96	Professional		$981.10	$1,410.54	$2,449.96