Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $1,972.00 / $5,389.00	Facility		$826.00	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.70 / $962.01 / $1,906.45	Professional		$733.70	$962.01	$1,906.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,871.01 / $12,558.32 / $25,148.03	Facility		$5,871.01	$12,558.32	$25,148.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.84 / $1,605.19 / $1,891.78	Professional		$1,160.84	$1,605.19	$1,891.78
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 $753.40 / $1,326.56 / $1,876.79	Professional		$753.40	$1,326.56	$1,876.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $901.22 / $1,532.07 / $3,605.68	Professional		$901.22	$1,532.07	$3,605.68
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 $1,013.86 / $1,171.58 / $1,347.28	Professional		$1,013.86	$1,171.58	$1,347.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,523.46	Professional		$32.34	$32.34	$1,523.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.71 / $1,087.70 / $1,982.51	Professional		$785.71	$1,087.70	$1,982.51