Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.99 / $2,747.00 / $5,580.00	Facility		$943.99	$2,747.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.26 / $943.99 / $1,727.87	Professional		$778.26	$943.99	$1,727.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $22,073.64	Facility		$8,538.45	$11,989.29	$22,073.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,128.29 / $1,560.16 / $1,900.35	Professional		$1,128.29	$1,560.16	$1,900.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.29 / $1,359.86 / $1,926.45	Professional		$946.29	$1,359.86	$1,926.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.31 / $1,584.28 / $5,159.51	Professional		$1,077.31	$1,584.28	$5,159.51
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 $1,081.64 / $1,176.89 / $1,309.49	Professional		$1,081.64	$1,176.89	$1,309.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,480.73	Professional		$32.34	$32.34	$1,480.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.84 / $1,178.56 / $2,059.42	Professional		$838.84	$1,178.56	$2,059.42