Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.30 / $2,118.00 / $5,393.00	Facility		$877.30	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.14 / $877.30 / $1,491.41	Professional		$742.14	$877.30	$1,491.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,366.66 / $20,514.39	Facility		$8,538.45	$11,366.66	$20,514.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.52 / $1,422.21 / $1,728.49	Professional		$1,028.52	$1,422.21	$1,728.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,439.52 / $10,538.10	Facility		$709.00	$9,439.52	$10,538.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.60 / $1,235.14 / $1,748.00	Professional		$864.60	$1,235.14	$1,748.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $964.14 / $1,408.07 / $3,750.56	Professional		$964.14	$1,408.07	$3,750.56
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 $1,018.12 / $1,070.46 / $1,193.70	Professional		$1,018.12	$1,070.46	$1,193.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,349.80	Professional		$32.34	$32.34	$1,349.80
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 $772.61 / $1,080.89 / $1,826.92	Professional		$772.61	$1,080.89	$1,826.92