Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.11 / $2,784.00 / $6,661.00	Facility		$917.11	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.93 / $917.11 / $1,669.34	Professional		$757.93	$917.11	$1,669.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,882.44 / $21,445.27	Facility		$8,538.45	$11,882.44	$21,445.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.18 / $1,099.18 / $1,850.48	Professional		$1,099.18	$1,099.18	$1,850.48
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 $924.79 / $1,324.77 / $1,897.10	Professional		$924.79	$1,324.77	$1,897.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.40 / $1,507.43 / $4,485.82	Professional		$1,034.40	$1,507.43	$4,485.82
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 $1,056.82 / $1,146.00 / $1,275.70	Professional		$1,056.82	$1,146.00	$1,275.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,442.53	Professional		$32.34	$32.34	$1,442.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.35 / $1,143.45 / $1,987.46	Professional		$837.35	$1,143.45	$1,987.46