Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.46 / $2,292.00 / $9,691.00	Facility		$913.46	$2,292.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.52 / $913.46 / $1,663.31	Professional		$750.52	$913.46	$1,663.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $9,793.11 / $21,360.01	Facility		$3,938.16	$9,793.11	$21,360.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,079.99 / $1,493.38 / $1,800.74	Professional		$1,079.99	$1,493.38	$1,800.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.38 / $1,288.73 / $1,902.47	Professional		$890.38	$1,288.73	$1,902.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $964.18 / $1,475.20 / $4,737.54	Professional		$964.18	$1,475.20	$4,737.54
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 $988.70 / $1,115.21 / $1,253.43	Professional		$988.70	$1,115.21	$1,253.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,417.34	Professional		$32.34	$32.34	$1,417.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.97 / $1,132.02 / $1,975.14	Professional		$822.97	$1,132.02	$1,975.14