Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.82 / $1,848.00 / $5,389.00	Facility		$891.82	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.57 / $891.82 / $1,542.76	Professional		$792.57	$891.82	$1,542.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,492.82 / $9,649.16 / $21,046.04	Facility		$5,492.82	$9,649.16	$21,046.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.81 / $1,491.84 / $1,648.53	Professional		$1,000.81	$1,491.84	$1,648.53
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 $861.07 / $1,163.60 / $1,656.61	Professional		$861.07	$1,163.60	$1,656.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $853.31 / $1,348.86 / $3,454.50	Professional		$853.31	$1,348.86	$3,454.50
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 $946.49 / $1,008.46 / $1,095.95	Professional		$946.49	$1,008.46	$1,095.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,264.56	Professional		$32.34	$32.34	$1,264.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.03 / $1,197.21 / $2,161.64	Professional		$849.03	$1,197.21	$2,161.64