Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.52 / $2,836.00 / $7,000.00	Facility		$927.52	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.61 / $927.52 / $1,686.62	Professional		$765.61	$927.52	$1,686.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $21,688.59	Facility		$8,538.45	$11,989.29	$21,688.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.65 / $1,533.00 / $1,866.69	Professional		$1,108.65	$1,533.00	$1,866.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $9,758.98 / $10,894.74	Facility		$996.00	$9,758.98	$10,894.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.36 / $1,329.79 / $1,951.15	Professional		$901.36	$1,329.79	$1,951.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.26 / $1,520.63 / $3,736.07	Professional		$1,039.26	$1,520.63	$3,736.07
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 $1,065.01 / $1,156.04 / $1,286.70	Professional		$1,065.01	$1,156.04	$1,286.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,454.96	Professional		$32.34	$32.34	$1,454.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.26 / $1,133.82 / $2,012.97	Professional		$864.26	$1,133.82	$2,012.97