Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.81 / $2,784.00 / $7,000.00	Facility		$915.81	$2,784.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.35 / $915.81 / $1,680.31	Professional		$753.35	$915.81	$1,680.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,589.09 / $11,955.28 / $23,940.44	Facility		$5,589.09	$11,955.28	$23,940.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,094.08 / $1,512.87 / $1,842.41	Professional		$1,094.08	$1,512.87	$1,842.41
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 $919.65 / $1,318.63 / $1,935.50	Professional		$919.65	$1,318.63	$1,935.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.81 / $1,535.98 / $3,714.34	Professional		$1,042.81	$1,535.98	$3,714.34
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 $1,041.46 / $1,141.01 / $1,269.80	Professional		$1,041.46	$1,141.01	$1,269.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,435.85	Professional		$32.34	$32.34	$1,435.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.49 / $1,188.67 / $2,004.96	Professional		$872.49	$1,188.67	$2,004.96