Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.75 / $2,758.00 / $5,580.00	Facility		$912.75	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.98 / $912.75 / $1,646.40	Professional		$757.98	$912.75	$1,646.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,423.54 / $9,785.42 / $21,343.24	Facility		$4,423.54	$9,785.42	$21,343.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.35 / $1,503.57 / $1,829.47	Professional		$1,087.35	$1,503.57	$1,829.47
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 $916.41 / $1,307.29 / $1,875.59	Professional		$916.41	$1,307.29	$1,875.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.30 / $1,504.68 / $3,899.06	Professional		$1,019.30	$1,504.68	$3,899.06
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 $1,060.75 / $1,132.99 / $1,261.99	Professional		$1,060.75	$1,132.99	$1,261.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,427.02	Professional		$32.34	$32.34	$1,427.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $1,150.23 / $1,964.17	Professional		$831.10	$1,150.23	$1,964.17