Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.94 / $2,824.00 / $5,580.00	Facility		$964.94	$2,824.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.95 / $964.94 / $1,971.15	Professional		$843.95	$964.94	$1,971.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $9,400.35 / $20,503.36	Facility		$2,517.01	$9,400.35	$20,503.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.01 / $1,465.75 / $1,773.48	Professional		$1,109.01	$1,465.75	$1,773.48
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 $934.15 / $1,342.65 / $1,953.54	Professional		$934.15	$1,342.65	$1,953.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.53 / $1,646.25 / $4,347.37	Professional		$1,025.53	$1,646.25	$4,347.37
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 $1,204.55 / $1,287.11 / $1,426.75	Professional		$1,204.55	$1,287.11	$1,426.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,646.25	Professional		$32.34	$32.34	$1,646.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $942.21 / $1,303.23 / $2,248.07	Professional		$942.21	$1,303.23	$2,248.07