Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.52 / $2,758.00 / $5,580.00	Facility		$866.52	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.53 / $866.52 / $1,478.11	Professional		$646.53	$866.52	$1,478.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $9,289.78 / $20,262.18	Facility		$4,295.45	$9,289.78	$20,262.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,011.11 / $1,398.13 / $1,698.97	Professional		$1,011.11	$1,398.13	$1,698.97
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 $798.50 / $1,211.39 / $1,683.31	Professional		$798.50	$1,211.39	$1,683.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $902.68 / $1,381.10 / $3,578.51	Professional		$902.68	$1,381.10	$3,578.51
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 $1,004.61 / $1,052.17 / $1,173.48	Professional		$1,004.61	$1,052.17	$1,173.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,326.94	Professional		$32.34	$32.34	$1,326.94
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 $729.48 / $1,000.38 / $1,804.28	Professional		$729.48	$1,000.38	$1,804.28