Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.84 / $2,758.00 / $5,580.00	Facility		$855.84	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.55 / $855.84 / $1,552.83	Professional		$707.55	$855.84	$1,552.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,088.52 / $20,012.41	Facility		$8,538.45	$11,088.52	$20,012.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.39 / $1,416.50 / $1,724.55	Professional		$1,024.39	$1,416.50	$1,724.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.94 / $1,211.50 / $1,768.36	Professional		$824.94	$1,211.50	$1,768.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $930.87 / $1,404.85 / $3,453.55	Professional		$930.87	$1,404.85	$3,453.55
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 $987.49 / $1,068.02 / $1,188.92	Professional		$987.49	$1,068.02	$1,188.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,344.39	Professional		$32.34	$32.34	$1,344.39
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 $788.56 / $1,071.63 / $1,851.85	Professional		$788.56	$1,071.63	$1,851.85