Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.90 / $2,758.00 / $5,580.00	Facility		$893.90	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.82 / $893.90 / $1,682.01	Professional		$793.82	$893.90	$1,682.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,669.26 / $9,068.01 / $21,094.90	Facility		$2,669.26	$9,068.01	$21,094.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.33 / $1,495.58 / $1,651.57	Professional		$1,003.33	$1,495.58	$1,651.57
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 $837.60 / $1,140.96 / $1,636.93	Professional		$837.60	$1,140.96	$1,636.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $854.89 / $1,321.19 / $3,401.82	Professional		$854.89	$1,321.19	$3,401.82
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 $949.83 / $1,010.32 / $1,098.71	Professional		$949.83	$1,010.32	$1,098.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,267.74	Professional		$32.34	$32.34	$1,267.74
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.75 / $1,172.64 / $2,095.81	Professional		$834.75	$1,172.64	$2,095.81