Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.05 / $2,784.00 / $6,661.00	Facility		$851.05	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.44 / $832.17 / $1,452.01	Professional		$702.44	$832.17	$1,452.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,193.85 / $11,109.84 / $22,247.45	Facility		$5,193.85	$11,109.84	$22,247.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.94 / $1,407.58 / $1,713.96	Professional		$1,017.94	$1,407.58	$1,713.96
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 $830.67 / $1,226.85 / $1,751.96	Professional		$830.67	$1,226.85	$1,751.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $964.17 / $1,396.22 / $3,373.87	Professional		$964.17	$1,396.22	$3,373.87
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 $978.33 / $1,061.45 / $1,181.43	Professional		$978.33	$1,061.45	$1,181.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,335.92	Professional		$32.34	$32.34	$1,335.92
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 $782.76 / $1,074.04 / $1,817.74	Professional		$782.76	$1,074.04	$1,817.74