Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.45 / $2,784.00 / $6,661.00	Facility		$883.45	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.01 / $883.45 / $1,602.11	Professional		$725.01	$883.45	$1,602.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,391.62 / $11,532.88 / $23,094.59	Facility		$5,391.62	$11,532.88	$23,094.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.82 / $1,458.57 / $1,776.18	Professional		$1,054.82	$1,458.57	$1,776.18
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 $873.86 / $1,271.31 / $1,816.34	Professional		$873.86	$1,271.31	$1,816.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $988.80 / $1,446.90 / $3,556.78	Professional		$988.80	$1,446.90	$3,556.78
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 $1,016.35 / $1,099.98 / $1,224.22	Professional		$1,016.35	$1,099.98	$1,224.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,384.31	Professional		$32.34	$32.34	$1,384.31
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 $811.94 / $1,119.16 / $1,911.46	Professional		$811.94	$1,119.16	$1,911.46