Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.00 / $5,393.00	Facility		$923.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.45 / $982.34 / $1,701.13	Professional		$833.45	$982.34	$1,701.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $10,531.51 / $22,970.56	Facility		$4,464.57	$10,531.51	$22,970.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.44 / $1,585.26 / $1,926.49	Professional		$1,146.44	$1,585.26	$1,926.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.84 / $1,485.79 / $4,048.61	Professional		$878.84	$1,485.79	$4,048.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.26 / $1,569.35 / $4,223.22	Professional		$1,074.26	$1,569.35	$4,223.22
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 $1,136.51 / $1,193.08 / $1,330.55	Professional		$1,136.51	$1,193.08	$1,330.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,504.55	Professional		$32.34	$32.34	$1,504.55
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 $854.86 / $1,179.10 / $2,028.10	Professional		$854.86	$1,179.10	$2,028.10