Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.00 / $5,393.00	Facility		$923.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.19 / $942.10 / $1,712.02	Professional		$777.19	$942.10	$1,712.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $22,029.50	Facility		$8,538.45	$11,989.29	$22,029.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.88 / $1,556.84 / $1,895.66	Professional		$1,125.88	$1,556.84	$1,895.66
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 $948.50 / $1,400.50 / $1,940.34	Professional		$948.50	$1,400.50	$1,940.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.65 / $1,590.44 / $3,669.06	Professional		$1,074.65	$1,590.44	$3,669.06
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 $1,081.02 / $1,173.99 / $1,306.71	Professional		$1,081.02	$1,173.99	$1,306.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,477.59	Professional		$32.34	$32.34	$1,477.59
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 $867.05 / $1,237.08 / $2,044.38	Professional		$867.05	$1,237.08	$2,044.38