Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.31 / $2,758.00 / $5,580.00	Facility		$896.31	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.75 / $896.31 / $1,525.80	Professional		$755.75	$896.31	$1,525.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,612.96 / $20,958.91	Facility		$8,538.45	$11,612.96	$20,958.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.20 / $1,449.41 / $1,762.21	Professional		$1,048.20	$1,449.41	$1,762.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $8,645.58 / $9,651.75	Facility		$875.00	$8,645.58	$9,651.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.46 / $1,259.24 / $1,783.65	Professional		$881.46	$1,259.24	$1,783.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $982.59 / $1,435.53 / $2,971.83	Professional		$982.59	$1,435.53	$2,971.83
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 $1,035.34 / $1,091.33 / $1,216.54	Professional		$1,035.34	$1,091.33	$1,216.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,375.63	Professional		$32.34	$32.34	$1,375.63
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 $796.65 / $1,104.33 / $1,835.40	Professional		$796.65	$1,104.33	$1,835.40