Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.49 / $2,784.00 / $6,661.00	Facility		$901.49	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.46 / $901.49 / $1,651.98	Professional		$741.46	$901.49	$1,651.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,501.68 / $11,768.32 / $23,566.06	Facility		$5,501.68	$11,768.32	$23,566.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.93 / $1,484.99 / $1,809.27	Professional		$1,073.93	$1,484.99	$1,809.27
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 $905.20 / $1,294.33 / $1,905.03	Professional		$905.20	$1,294.33	$1,905.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.23 / $1,508.34 / $3,643.71	Professional		$1,025.23	$1,508.34	$3,643.71
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 $1,024.19 / $1,120.48 / $1,246.40	Professional		$1,024.19	$1,120.48	$1,246.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,409.39	Professional		$32.34	$32.34	$1,409.39
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 $856.49 / $1,192.00 / $1,971.24	Professional		$856.49	$1,192.00	$1,971.24