Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.54 / $2,118.00 / $5,393.00	Facility		$884.54	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.67 / $884.54 / $1,616.97	Professional		$729.67	$884.54	$1,616.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,460.43 / $20,683.63	Facility		$8,538.45	$11,460.43	$20,683.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,056.38 / $1,460.73 / $1,779.44	Professional		$1,056.38	$1,460.73	$1,779.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $8,658.56 / $9,666.24	Facility		$709.00	$8,658.56	$9,666.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.90 / $1,273.19 / $1,839.23	Professional		$888.90	$1,273.19	$1,839.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.76 / $1,457.28 / $3,587.57	Professional		$1,008.76	$1,457.28	$3,587.57
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 $1,014.40 / $1,102.01 / $1,226.04	Professional		$1,014.40	$1,102.01	$1,226.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,386.37	Professional		$32.34	$32.34	$1,386.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $839.75 / $1,125.51 / $1,919.06	Professional		$839.75	$1,125.51	$1,919.06