Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.33 / $2,118.00 / $5,393.00	Facility		$858.33	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.83 / $858.33 / $1,456.06	Professional		$722.83	$858.33	$1,456.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $9,202.07 / $20,070.88	Facility		$4,295.45	$9,202.07	$20,070.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.16 / $1,391.29 / $1,690.61	Professional		$1,006.16	$1,391.29	$1,690.61
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 $845.65 / $1,208.07 / $1,706.71	Professional		$845.65	$1,208.07	$1,706.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $928.08 / $1,377.20 / $3,277.89	Professional		$928.08	$1,377.20	$3,277.89
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 $997.00 / $1,046.99 / $1,167.75	Professional		$997.00	$1,046.99	$1,167.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,320.46	Professional		$32.34	$32.34	$1,320.46
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 $759.86 / $1,058.44 / $1,831.20	Professional		$759.86	$1,058.44	$1,831.20