Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,909.35 / $5,389.00	Facility		$813.00	$1,909.35	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.15 / $1,036.63 / $1,909.35	Professional		$853.15	$1,036.63	$1,909.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $11,113.54 / $24,240.05	Facility		$2,202.15	$11,113.54	$24,240.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.99 / $1,710.47 / $2,083.89	Professional		$1,236.99	$1,710.47	$2,083.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.76 / $1,466.92 / $2,113.76	Professional		$963.76	$1,466.92	$2,113.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.57 / $1,737.28 / $4,793.68	Professional		$1,159.57	$1,737.28	$4,793.68
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 $1,180.35 / $1,290.55 / $1,435.66	Professional		$1,180.35	$1,290.55	$1,435.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,623.39	Professional		$32.34	$32.34	$1,623.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.28 / $1,240.19 / $2,274.44	Professional		$945.28	$1,240.19	$2,274.44