Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.90 / $2,095.00 / $7,407.00	Facility		$899.90	$2,095.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.94 / $899.90 / $1,644.55	Professional		$782.94	$899.90	$1,644.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,045.65 / $17,034.04 / $23,524.56	Facility		$9,045.65	$17,034.04	$23,524.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.44 / $1,488.46 / $1,812.88	Professional		$1,076.44	$1,488.46	$1,812.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $9,841.00 / $17,197.72	Facility		$875.00	$9,841.00	$17,197.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.27 / $1,272.70 / $1,864.21	Professional		$858.27	$1,272.70	$1,864.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.06 / $1,511.35 / $3,652.76	Professional		$1,009.06	$1,511.35	$3,652.76
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 $1,036.71 / $1,122.72 / $1,249.31	Professional		$1,036.71	$1,122.72	$1,249.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,412.68	Professional		$32.34	$32.34	$1,412.68
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 $834.78 / $1,111.22 / $1,955.26	Professional		$834.78	$1,111.22	$1,955.26