Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $2,118.00 / $5,393.00	Facility		$890.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.85 / $890.00 / $1,511.76	Professional		$750.85	$890.00	$1,511.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,313.30 / $9,541.54 / $20,811.31	Facility		$4,313.30	$9,541.54	$20,811.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.82 / $1,441.98 / $1,752.27	Professional		$1,042.82	$1,441.98	$1,752.27
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 $876.49 / $1,252.13 / $1,768.89	Professional		$876.49	$1,252.13	$1,768.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.55 / $1,427.42 / $3,402.85	Professional		$977.55	$1,427.42	$3,402.85
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 $1,030.83 / $1,085.18 / $1,210.30	Professional		$1,030.83	$1,085.18	$1,210.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,368.57	Professional		$32.34	$32.34	$1,368.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.45 / $1,115.29 / $1,816.86	Professional		$789.45	$1,115.29	$1,816.86