Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.63 / $2,747.00 / $5,549.00	Facility		$882.63	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.83 / $882.63 / $1,600.26	Professional		$730.83	$882.63	$1,600.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $9,462.50 / $20,638.91	Facility		$4,295.45	$9,462.50	$20,638.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,056.31 / $1,460.64 / $1,778.17	Professional		$1,056.31	$1,460.64	$1,778.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.71 / $1,225.96 / $1,819.28	Professional		$769.71	$1,225.96	$1,819.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $953.18 / $1,448.52 / $3,444.50	Professional		$953.18	$1,448.52	$3,444.50
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 $1,023.36 / $1,101.22 / $1,225.95	Professional		$1,023.36	$1,101.22	$1,225.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,386.27	Professional		$32.34	$32.34	$1,386.27
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 $801.57 / $1,084.05 / $1,906.85	Professional		$801.57	$1,084.05	$1,906.85