Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.37 / $2,784.00 / $7,123.00	Facility		$986.37	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.82 / $986.37 / $1,767.23	Professional		$841.82	$986.37	$1,767.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,019.71 / $12,876.40 / $25,784.99	Facility		$6,019.71	$12,876.40	$25,784.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,176.30 / $1,626.55 / $1,980.24	Professional		$1,176.30	$1,626.55	$1,980.24
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 $964.64 / $1,417.72 / $2,024.15	Professional		$964.64	$1,417.72	$2,024.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.56 / $1,613.15 / $3,851.97	Professional		$1,110.56	$1,613.15	$3,851.97
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 $1,130.32 / $1,226.36 / $1,365.21	Professional		$1,130.32	$1,226.36	$1,365.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,543.74	Professional		$32.34	$32.34	$1,543.74
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 $918.23 / $1,231.50 / $2,114.91	Professional		$918.23	$1,231.50	$2,114.91