Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.50 / $2,118.00 / $5,549.00	Facility		$911.50	$2,118.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.07 / $968.76 / $2,014.98	Professional		$854.07	$968.76	$2,014.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,846.66 / $9,439.51 / $20,588.77	Facility		$4,846.66	$9,439.51	$20,588.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,233.33 / $1,470.53 / $1,789.18	Professional		$1,233.33	$1,470.53	$1,789.18
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 $998.30 / $1,376.34 / $2,024.44	Professional		$998.30	$1,376.34	$2,024.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.71 / $1,708.04 / $5,029.20	Professional		$1,034.71	$1,708.04	$5,029.20
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 $1,209.68 / $1,298.51 / $1,431.40	Professional		$1,209.68	$1,298.51	$1,431.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,651.62	Professional		$32.34	$32.34	$1,651.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,000.00 / $8,995.00	Facility		$1,600.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $970.97 / $1,430.16 / $2,318.06	Professional		$970.97	$1,430.16	$2,318.06