Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.75 / $1,655.76 / $5,549.00	Facility		$830.75	$1,655.76	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.88 / $830.75 / $1,404.71	Professional		$737.88	$830.75	$1,404.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,566.00 / $8,427.43 / $19,604.72	Facility		$4,566.00	$8,427.43	$19,604.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,534.70 / $1,534.70 / $1,534.70	Professional		$1,534.70	$1,534.70	$1,534.70
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 $784.65 / $1,060.08 / $1,527.99	Professional		$784.65	$1,060.08	$1,527.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.39 / $1,256.38 / $3,215.55	Professional		$794.39	$1,256.38	$3,215.55
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 $883.03 / $938.82 / $1,020.81	Professional		$883.03	$938.82	$1,020.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,177.85	Professional		$32.34	$32.34	$1,177.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.57 / $1,116.73 / $1,952.05	Professional		$775.57	$1,116.73	$1,952.05