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 / $6,661.00	Facility		$947.18	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.65 / $947.18 / $1,721.41	Professional		$781.65	$947.18	$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 $912.16 / $1,335.05 / $1,946.97	Professional		$912.16	$1,335.05	$1,946.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.64 / $1,553.18 / $3,817.56	Professional		$1,061.64	$1,553.18	$3,817.56
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 $1,087.63 / $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 $874.10 / $1,186.52 / $2,054.59	Professional		$874.10	$1,186.52	$2,054.59