Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.51 / $2,232.00 / $5,405.00	Facility		$910.51	$2,232.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.36 / $910.51 / $1,753.32	Professional		$780.36	$910.51	$1,753.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,846.66 / $8,870.02 / $19,346.64	Facility		$4,846.66	$8,870.02	$19,346.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.59 / $1,715.25 / $1,715.25	Professional		$1,072.59	$1,715.25	$1,715.25
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 $899.29 / $1,244.85 / $1,888.83	Professional		$899.29	$1,244.85	$1,888.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $992.70 / $1,591.71 / $4,092.78	Professional		$992.70	$1,591.71	$4,092.78
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 $1,160.82 / $1,244.84 / $1,379.48	Professional		$1,160.82	$1,244.84	$1,379.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,591.71	Professional		$32.34	$32.34	$1,591.71
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 $892.55 / $1,239.53 / $2,148.52	Professional		$892.55	$1,239.53	$2,148.52