Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.69 / $2,118.00 / $5,405.00	Facility		$846.69	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.69 / $864.26 / $1,590.12	Professional		$846.69	$864.26	$1,590.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,076.63 / $10,199.48 / $23,727.04	Facility		$6,076.63	$10,199.48	$23,727.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,933.41 / $1,933.41 / $1,933.41	Professional		$1,933.41	$1,933.41	$1,933.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.24 / $1,214.96 / $1,739.36	Professional		$904.24	$1,214.96	$1,739.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $896.09 / $1,415.90 / $3,487.96	Professional		$896.09	$1,415.90	$3,487.96
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 $994.70 / $1,059.02 / $1,150.42	Professional		$994.70	$1,059.02	$1,150.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,327.41	Professional		$32.34	$32.34	$1,327.41
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 $876.98 / $1,202.51 / $1,887.94	Professional		$876.98	$1,202.51	$1,887.94