Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.95 / $2,118.00 / $5,393.00	Facility		$884.95	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.16 / $884.95 / $1,617.01	Professional		$730.16	$884.95	$1,617.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,465.75 / $20,693.23	Facility		$8,538.45	$11,465.75	$20,693.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.17 / $1,461.83 / $1,780.56	Professional		$1,057.17	$1,461.83	$1,780.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.75 / $1,274.15 / $1,831.07	Professional		$878.75	$1,274.15	$1,831.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $991.00 / $1,450.47 / $3,589.38	Professional		$991.00	$1,450.47	$3,589.38
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 $1,015.74 / $1,102.70 / $1,226.95	Professional		$1,015.74	$1,102.70	$1,226.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,387.40	Professional		$32.34	$32.34	$1,387.40
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 $823.53 / $1,120.10 / $1,919.33	Professional		$823.53	$1,120.10	$1,919.33