Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.20 / $1,842.00 / $5,389.00	Facility		$880.20	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.20 / $930.82 / $1,685.45	Professional		$880.20	$930.82	$1,685.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,094.16 / $10,603.14 / $24,666.08	Facility		$6,094.16	$10,603.14	$24,666.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,010.68 / $2,010.68 / $2,010.68	Professional		$2,010.68	$2,010.68	$2,010.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.03 / $1,243.35 / $1,792.00	Professional		$917.03	$1,243.35	$1,792.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $931.91 / $1,471.31 / $3,616.54	Professional		$931.91	$1,471.31	$3,616.54
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 $1,033.84 / $1,101.34 / $1,197.31	Professional		$1,033.84	$1,101.34	$1,197.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,252.57	Professional		$32.34	$32.34	$1,252.57
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 $927.84 / $1,283.83 / $1,959.41	Professional		$927.84	$1,283.83	$1,959.41