Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.50 / $2,824.00 / $6,180.00	Facility		$993.50	$2,824.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.58 / $993.50 / $1,811.00	Professional		$819.58	$993.50	$1,811.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $23,231.50	Facility		$8,538.45	$11,989.29	$23,231.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.79 / $1,641.06 / $1,998.79	Professional		$1,186.79	$1,641.06	$1,998.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,977.00 / $16,314.00	Facility		$875.00	$6,977.00	$16,314.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.56 / $1,428.29 / $2,059.52	Professional		$977.56	$1,428.29	$2,059.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.51 / $1,628.24 / $3,976.93	Professional		$1,112.51	$1,628.24	$3,976.93
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 $1,139.29 / $1,237.84 / $1,377.39	Professional		$1,139.29	$1,237.84	$1,377.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,557.51	Professional		$32.34	$32.34	$1,557.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,951.00 / $11,479.00	Facility		$2,100.00	$5,951.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.34 / $1,259.98 / $2,161.44	Professional		$932.34	$1,259.98	$2,161.44