Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.88 / $2,095.00 / $5,393.00	Facility		$905.88	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.14 / $905.88 / $1,644.88	Professional		$786.14	$905.88	$1,644.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,390.25 / $9,711.77 / $21,182.60	Facility		$4,390.25	$9,711.77	$21,182.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.68 / $1,497.10 / $1,823.16	Professional		$1,082.68	$1,497.10	$1,823.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.95 / $1,304.89 / $1,870.83	Professional		$911.95	$1,304.89	$1,870.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.29 / $1,485.19 / $5,722.72	Professional		$1,029.29	$1,485.19	$5,722.72
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 $1,042.33 / $1,129.08 / $1,256.57	Professional		$1,042.33	$1,129.08	$1,256.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,420.89	Professional		$32.34	$32.34	$1,420.89
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 $833.59 / $1,119.42 / $1,958.12	Professional		$833.59	$1,119.42	$1,958.12