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 $789.21 / $971.31 / $1,768.20	Professional		$789.21	$971.31	$1,768.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $10,413.18 / $22,712.47	Facility		$4,464.57	$10,413.18	$22,712.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.71 / $1,605.00 / $1,954.41	Professional		$1,160.71	$1,605.00	$1,954.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.60 / $1,398.93 / $1,968.87	Professional		$975.60	$1,398.93	$1,968.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.95 / $1,629.34 / $4,924.08	Professional		$1,107.95	$1,629.34	$4,924.08
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 $1,113.48 / $1,210.36 / $1,347.13	Professional		$1,113.48	$1,210.36	$1,347.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,523.29	Professional		$32.34	$32.34	$1,523.29
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 $867.31 / $1,220.35 / $2,109.39	Professional		$867.31	$1,220.35	$2,109.39