Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.92 / $2,162.35 / $5,405.00	Facility		$875.92	$2,162.35	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.99 / $875.92 / $1,809.50	Professional		$760.99	$875.92	$1,809.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,857.40 / $8,533.04 / $18,611.66	Facility		$3,857.40	$8,533.04	$18,611.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.64 / $1,340.94 / $1,620.62	Professional		$1,124.64	$1,340.94	$1,620.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.58 / $1,187.97 / $1,788.13	Professional		$851.58	$1,187.97	$1,788.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $938.93 / $1,506.08 / $4,088.92	Professional		$938.93	$1,506.08	$4,088.92
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 $1,093.30 / $1,176.18 / $1,305.27	Professional		$1,093.30	$1,176.18	$1,305.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,506.08	Professional		$32.34	$32.34	$1,506.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $844.69 / $1,182.56 / $2,037.81	Professional		$844.69	$1,182.56	$2,037.81