Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.36 / $2,660.00 / $5,580.00	Facility		$830.36	$2,660.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.36 / $859.07 / $1,558.30	Professional		$830.36	$859.07	$1,558.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,073.12 / $12,990.64 / $26,013.75	Facility		$6,073.12	$12,990.64	$26,013.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.83 / $1,614.45 / $1,737.98	Professional		$1,003.83	$1,614.45	$1,737.98
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 $854.07 / $1,181.59 / $1,684.19	Professional		$854.07	$1,181.59	$1,684.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $880.28 / $1,368.43 / $3,911.73	Professional		$880.28	$1,368.43	$3,911.73
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 $977.60 / $1,040.33 / $1,131.47	Professional		$977.60	$1,040.33	$1,131.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,305.54	Professional		$32.34	$32.34	$1,305.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.21 / $1,242.16 / $1,847.13	Professional		$881.21	$1,242.16	$1,847.13