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 $761.90 / $890.55 / $1,723.31	Professional		$761.90	$890.55	$1,723.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,857.67 / $21,400.56	Facility		$8,538.45	$11,857.67	$21,400.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.52 / $1,574.31 / $1,875.46	Professional		$1,138.52	$1,574.31	$1,875.46
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 $829.18 / $1,301.03 / $1,931.22	Professional		$829.18	$1,301.03	$1,931.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $975.09 / $1,516.58 / $3,131.62	Professional		$975.09	$1,516.58	$3,131.62
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 $1,024.18 / $1,161.47 / $1,321.36	Professional		$1,024.18	$1,161.47	$1,321.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,494.15	Professional		$32.34	$32.34	$1,494.15
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 $824.73 / $1,134.23 / $1,949.05	Professional		$824.73	$1,134.23	$1,949.05