Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.18 / $2,784.00 / $7,000.00	Facility		$947.18	$2,784.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $927.08 / $1,721.41	Professional		$787.82	$927.08	$1,721.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,780.54 / $12,364.80 / $24,760.51	Facility		$5,780.54	$12,364.80	$24,760.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,132.53 / $1,566.03 / $1,906.63	Professional		$1,132.53	$1,566.03	$1,906.63
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 $916.49 / $1,349.00 / $1,958.75	Professional		$916.49	$1,349.00	$1,958.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.64 / $1,553.18 / $5,456.51	Professional		$1,061.64	$1,553.18	$5,456.51
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 $1,087.63 / $1,180.78 / $1,314.42	Professional		$1,087.63	$1,180.78	$1,314.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,486.30	Professional		$32.34	$32.34	$1,486.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.81 / $1,189.07 / $2,054.59	Professional		$876.81	$1,189.07	$2,054.59