Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.29 / $1,731.00 / $5,389.00	Facility		$999.29	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.79 / $999.29 / $1,722.27	Professional		$772.79	$999.29	$1,722.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,451.23 / $11,660.40 / $23,349.95	Facility		$5,451.23	$11,660.40	$23,349.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.59 / $1,534.78 / $1,623.57	Professional		$1,064.59	$1,534.78	$1,623.57
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 $928.46 / $1,302.82 / $1,866.04	Professional		$928.46	$1,302.82	$1,866.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $922.97 / $1,468.36 / $4,907.78	Professional		$922.97	$1,468.36	$4,907.78
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 $950.87 / $1,090.78 / $1,223.47	Professional		$950.87	$1,090.78	$1,223.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,411.70	Professional		$32.34	$32.34	$1,411.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.80 / $1,227.40 / $2,010.68	Professional		$914.80	$1,227.40	$2,010.68