Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,157.00 / $5,393.00	Facility		$923.00	$2,157.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.54 / $984.62 / $1,913.74	Professional		$843.54	$984.62	$1,913.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $10,370.54 / $22,619.47	Facility		$4,464.57	$10,370.54	$22,619.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.41 / $1,599.05 / $2,027.58	Professional		$1,156.41	$1,599.05	$2,027.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.76 / $1,393.75 / $2,084.11	Professional		$986.76	$1,393.75	$2,084.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.50 / $1,642.05 / $4,002.28	Professional		$1,062.50	$1,642.05	$4,002.28
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 $1,200.83 / $1,255.68 / $1,342.13	Professional		$1,200.83	$1,255.68	$1,342.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,522.82	Professional		$32.34	$32.34	$1,522.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.73 / $1,263.82 / $2,273.71	Professional		$899.73	$1,263.82	$2,273.71