Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.94 / $2,587.00 / $5,549.00	Facility		$879.94	$2,587.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $852.30 / $1,493.99	Professional		$741.89	$852.30	$1,493.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.15 / $11,486.96 / $23,002.63	Facility		$5,370.15	$11,486.96	$23,002.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.38 / $1,426.17 / $1,732.90	Professional		$1,031.38	$1,426.17	$1,732.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.83 / $1,232.43 / $1,749.50	Professional		$840.83	$1,232.43	$1,749.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $956.62 / $1,411.66 / $3,364.81	Professional		$956.62	$1,411.66	$3,364.81
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 $1,018.88 / $1,073.19 / $1,197.03	Professional		$1,018.88	$1,073.19	$1,197.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,357.44	Professional		$32.34	$32.34	$1,357.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.28 / $1,059.45 / $1,830.79	Professional		$777.28	$1,059.45	$1,830.79