Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.48 / $2,989.00 / $7,125.00	Facility		$972.48	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.24 / $972.48 / $1,782.49	Professional		$801.24	$972.48	$1,782.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $22,739.99	Facility		$8,538.45	$11,989.29	$22,739.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.58 / $1,606.21 / $1,956.62	Professional		$1,161.58	$1,606.21	$1,956.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $6,831.39 / $7,626.43	Facility		$996.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.49 / $1,400.00 / $2,027.92	Professional		$976.49	$1,400.00	$2,027.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.20 / $1,610.22 / $4,724.87	Professional		$1,109.20	$1,610.22	$4,724.87
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 $1,111.92 / $1,211.73 / $1,348.14	Professional		$1,111.92	$1,211.73	$1,348.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,524.43	Professional		$32.34	$32.34	$1,524.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,253.00 / $14,468.00	Facility		$2,600.00	$7,253.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.41 / $1,242.46 / $2,125.35	Professional		$909.41	$1,242.46	$2,125.35