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 $798.37 / $946.36 / $1,609.61	Professional		$798.37	$946.36	$1,609.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $10,145.71 / $22,129.10	Facility		$4,464.57	$10,145.71	$22,129.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.76 / $1,534.54 / $1,865.07	Professional		$1,109.76	$1,534.54	$1,865.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.87 / $1,332.73 / $1,882.44	Professional		$931.87	$1,332.73	$1,882.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.30 / $1,519.32 / $3,602.05	Professional		$1,040.30	$1,519.32	$3,602.05
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 $1,096.63 / $1,155.04 / $1,287.99	Professional		$1,096.63	$1,155.04	$1,287.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,456.42	Professional		$32.34	$32.34	$1,456.42
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 $840.55 / $1,165.70 / $1,913.40	Professional		$840.55	$1,165.70	$1,913.40