Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.11 / $2,194.44 / $5,405.00	Facility		$892.11	$2,194.44	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.62 / $892.11 / $1,676.23	Professional		$772.62	$892.11	$1,676.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,928.71 / $8,690.79 / $18,955.72	Facility		$3,928.71	$8,690.79	$18,955.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.47 / $1,644.67 / $1,644.67	Professional		$1,028.47	$1,644.67	$1,644.67
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 $866.30 / $1,204.80 / $1,812.61	Professional		$866.30	$1,204.80	$1,812.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $952.05 / $1,527.48 / $4,017.56	Professional		$952.05	$1,527.48	$4,017.56
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 $1,120.05 / $1,193.63 / $1,323.82	Professional		$1,120.05	$1,193.63	$1,323.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,527.48	Professional		$32.34	$32.34	$1,527.48
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 $855.00 / $1,178.59 / $2,011.90	Professional		$855.00	$1,178.59	$2,011.90