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 $730.97 / $909.20 / $1,733.82	Professional		$730.97	$909.20	$1,733.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,780.02 / $21,260.41	Facility		$8,538.45	$11,780.02	$21,260.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.04 / $1,456.11 / $2,017.87	Professional		$1,053.04	$1,456.11	$2,017.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.17 / $1,415.71 / $1,969.79	Professional		$823.17	$1,415.71	$1,969.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $996.79 / $1,634.18 / $3,407.65	Professional		$996.79	$1,634.18	$3,407.65
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 $1,075.98 / $1,249.66 / $1,437.83	Professional		$1,075.98	$1,249.66	$1,437.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,625.85	Professional		$32.34	$32.34	$1,625.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.44 / $1,138.23 / $1,949.31	Professional		$814.44	$1,138.23	$1,949.31