Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,758.00 / $5,580.00	Facility		$923.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.56 / $849.52 / $1,549.59	Professional		$761.56	$849.52	$1,549.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $8,460.57 / $16,274.22	Facility		$3,981.52	$8,460.57	$16,274.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.18 / $1,411.27 / $1,437.19	Professional		$1,045.18	$1,411.27	$1,437.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $908.00 / $5,676.58	Facility		$579.00	$908.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.65 / $1,165.91 / $1,809.50	Professional		$802.65	$1,165.91	$1,809.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $868.21 / $1,335.71 / $3,841.25	Professional		$868.21	$1,335.71	$3,841.25
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 $967.02 / $1,021.42 / $1,122.73	Professional		$967.02	$1,021.42	$1,122.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,269.55	Professional		$32.34	$32.34	$1,269.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.34 / $1,163.44 / $1,839.12	Professional		$819.34	$1,163.44	$1,839.12