Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,747.00 / $5,549.00	Facility		$879.00	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.01 / $834.01 / $1,724.68	Professional		$725.01	$834.01	$1,724.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,928.21 / $18,264.43	Facility		$7,070.62	$9,928.21	$18,264.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $944.06 / $1,305.41 / $1,632.58	Professional		$944.06	$1,305.41	$1,632.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $7,247.27 / $8,090.71	Facility		$875.00	$7,247.27	$8,090.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.11 / $1,137.81 / $1,843.24	Professional		$820.11	$1,137.81	$1,843.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $908.96 / $1,348.51 / $4,112.75	Professional		$908.96	$1,348.51	$4,112.75
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 $974.48 / $1,011.06 / $1,095.67	Professional		$974.48	$1,011.06	$1,095.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,238.95	Professional		$32.34	$32.34	$1,238.95
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 $800.18 / $1,113.29 / $2,000.72	Professional		$800.18	$1,113.29	$2,000.72