Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,836.00 / $7,125.00	Facility		$923.00	$2,836.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.30 / $909.62 / $1,797.50	Professional		$793.30	$909.62	$1,797.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,564.40 / $11,902.48 / $23,834.71	Facility		$5,564.40	$11,902.48	$23,834.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.56 / $1,501.60 / $1,772.00	Professional		$1,116.56	$1,501.60	$1,772.00
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 $947.34 / $1,326.02 / $1,920.43	Professional		$947.34	$1,326.02	$1,920.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $981.01 / $1,534.82 / $6,546.00	Professional		$981.01	$1,534.82	$6,546.00
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 $1,060.48 / $1,159.38 / $1,276.91	Professional		$1,060.48	$1,159.38	$1,276.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,473.36	Professional		$32.34	$32.34	$1,473.36
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 $955.57 / $1,340.79 / $2,331.33	Professional		$955.57	$1,340.79	$2,331.33