Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.16 / $2,758.00 / $5,580.00	Facility		$930.16	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.83 / $909.49 / $1,604.78	Professional		$792.83	$909.49	$1,604.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $21,750.36	Facility		$8,538.45	$11,989.29	$21,750.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,085.58 / $1,501.11 / $1,824.03	Professional		$1,085.58	$1,501.11	$1,824.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $8,698.04 / $9,710.32	Facility		$875.00	$8,698.04	$9,710.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.39 / $1,310.77 / $1,887.25	Professional		$912.39	$1,310.77	$1,887.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.64 / $1,520.65 / $3,819.37	Professional		$1,017.64	$1,520.65	$3,819.37
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 $1,080.16 / $1,129.61 / $1,259.93	Professional		$1,080.16	$1,129.61	$1,259.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,424.69	Professional		$32.34	$32.34	$1,424.69
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 $829.86 / $1,155.49 / $1,918.19	Professional		$829.86	$1,155.49	$1,918.19