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 $780.10 / $925.77 / $1,583.68	Professional		$780.10	$925.77	$1,583.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $9,925.03 / $21,647.75	Facility		$4,464.57	$9,925.03	$21,647.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.88 / $1,498.75 / $1,822.26	Professional		$1,083.88	$1,498.75	$1,822.26
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 $910.05 / $1,302.15 / $1,838.54	Professional		$910.05	$1,302.15	$1,838.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.03 / $1,484.45 / $3,435.44	Professional		$1,016.03	$1,484.45	$3,435.44
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 $1,070.35 / $1,128.53 / $1,257.95	Professional		$1,070.35	$1,128.53	$1,257.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,422.45	Professional		$32.34	$32.34	$1,422.45
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 $825.07 / $1,145.93 / $1,847.30	Professional		$825.07	$1,145.93	$1,847.30