Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.01 / $2,118.00 / $5,405.00	Facility		$861.01	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.71 / $947.51 / $1,633.77	Professional		$805.71	$947.51	$1,633.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $22,156.04	Facility		$8,538.45	$11,989.29	$22,156.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.28 / $1,526.96 / $1,855.36	Professional		$1,104.28	$1,526.96	$1,855.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,275.08 / $10,354.52	Facility		$709.00	$9,275.08	$10,354.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.87 / $1,325.80 / $1,908.16	Professional		$934.87	$1,325.80	$1,908.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.15 / $1,546.77 / $3,678.12	Professional		$1,035.15	$1,546.77	$3,678.12
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 $1,097.15 / $1,149.03 / $1,281.61	Professional		$1,097.15	$1,149.03	$1,281.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,456.73	Professional		$32.34	$32.34	$1,456.73
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 $850.35 / $1,164.16 / $1,951.87	Professional		$850.35	$1,164.16	$1,951.87