Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.93 / $2,118.00 / $5,393.00	Facility		$847.93	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.64 / $847.93 / $1,640.02	Professional		$736.64	$847.93	$1,640.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $10,051.54 / $19,827.70	Facility		$7,070.62	$10,051.54	$19,827.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,001.98 / $1,385.50 / $1,721.32	Professional		$1,001.98	$1,385.50	$1,721.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $5,676.58 / $6,337.22	Facility		$709.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.22 / $1,207.61 / $1,810.95	Professional		$848.22	$1,207.61	$1,810.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $950.44 / $1,409.39 / $3,623.79	Professional		$950.44	$1,409.39	$3,623.79
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 $1,037.32 / $1,066.01 / $1,162.89	Professional		$1,037.32	$1,066.01	$1,162.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,330.53	Professional		$32.34	$32.34	$1,330.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.14 / $1,119.61 / $1,987.60	Professional		$821.14	$1,119.61	$1,987.60