Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.66 / $1,842.00 / $5,091.00	Facility		$916.66	$1,842.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.73 / $897.36 / $1,679.15	Professional		$794.73	$897.36	$1,679.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,876.57 / $21,434.67	Facility		$8,538.45	$11,876.57	$21,434.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.50 / $1,517.58 / $1,848.05	Professional		$1,097.50	$1,517.58	$1,848.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.78 / $1,320.57 / $1,900.30	Professional		$894.78	$1,320.57	$1,900.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.80 / $1,508.33 / $3,879.14	Professional		$1,028.80	$1,508.33	$3,879.14
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 $1,052.34 / $1,144.49 / $1,273.75	Professional		$1,052.34	$1,144.49	$1,273.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,440.32	Professional		$32.34	$32.34	$1,440.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $871.07 / $1,165.25 / $1,994.00	Professional		$871.07	$1,165.25	$1,994.00