Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.92 / $2,758.00 / $5,580.00	Facility		$996.92	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.41 / $996.92 / $1,818.36	Professional		$822.41	$996.92	$1,818.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $23,311.47	Facility		$8,538.45	$11,989.29	$23,311.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.82 / $1,646.63 / $2,005.66	Professional		$1,190.82	$1,646.63	$2,005.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $9,189.02 / $10,258.44	Facility		$875.00	$9,189.02	$10,258.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.14 / $1,435.23 / $2,067.92	Professional		$987.14	$1,435.23	$2,067.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.43 / $1,633.84 / $4,020.39	Professional		$1,125.43	$1,633.84	$4,020.39
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 $1,143.17 / $1,242.09 / $1,382.07	Professional		$1,143.17	$1,242.09	$1,382.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,562.80	Professional		$32.34	$32.34	$1,562.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.66 / $1,255.60 / $2,169.26	Professional		$930.66	$1,255.60	$2,169.26