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 $772.35 / $928.23 / $1,712.57	Professional		$772.35	$928.23	$1,712.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $10,791.55 / $21,705.22	Facility		$7,091.59	$10,791.55	$21,705.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.54 / $1,530.09 / $1,871.09	Professional		$1,106.54	$1,530.09	$1,871.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,676.58 / $6,337.22	Facility		$875.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.34 / $1,317.04 / $1,919.75	Professional		$890.34	$1,317.04	$1,919.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.28 / $1,515.31 / $12,557.40	Professional		$1,037.28	$1,515.31	$12,557.40
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 $1,078.27 / $1,158.77 / $1,284.26	Professional		$1,078.27	$1,158.77	$1,284.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,452.20	Professional		$32.34	$32.34	$1,452.20
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 $863.01 / $1,158.01 / $2,034.27	Professional		$863.01	$1,158.01	$2,034.27