Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.47 / $2,118.00 / $5,405.00	Facility		$891.47	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.97 / $891.47 / $1,544.23	Professional		$791.97	$891.47	$1,544.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,669.26 / $9,043.43 / $21,037.72	Facility		$2,669.26	$9,043.43	$21,037.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,001.77 / $1,493.26 / $1,648.94	Professional		$1,001.77	$1,493.26	$1,648.94
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 $861.28 / $1,163.90 / $1,659.59	Professional		$861.28	$1,163.90	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $853.52 / $1,326.94 / $3,934.30	Professional		$853.52	$1,326.94	$3,934.30
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 $948.19 / $1,008.71 / $1,096.99	Professional		$948.19	$1,008.71	$1,096.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,265.76	Professional		$32.34	$32.34	$1,265.76
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 $847.39 / $1,200.61 / $2,097.91	Professional		$847.39	$1,200.61	$2,097.91