Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.35 / $2,771.58 / $6,180.00	Facility		$954.35	$2,771.58	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.25 / $954.35 / $1,735.86	Professional		$804.25	$954.35	$1,735.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $10,231.39 / $22,315.96	Facility		$2,202.15	$10,231.39	$22,315.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.75 / $1,581.54 / $1,925.45	Professional		$1,143.75	$1,581.54	$1,925.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,820.98 / $10,111.00	Facility		$875.00	$1,820.98	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.50 / $1,375.88 / $1,982.80	Professional		$935.50	$1,375.88	$1,982.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.88 / $1,576.57 / $4,809.97	Professional		$1,086.88	$1,576.57	$4,809.97
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 $1,095.39 / $1,192.44 / $1,327.43	Professional		$1,095.39	$1,192.44	$1,327.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,501.02	Professional		$32.34	$32.34	$1,501.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.71 / $1,209.19 / $2,085.71	Professional		$886.71	$1,209.19	$2,085.71