Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.28 / $1,711.02 / $5,549.00	Facility		$903.28	$1,711.02	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.11 / $903.28 / $1,588.09	Professional		$665.11	$903.28	$1,588.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,430.36 / $9,539.44 / $20,806.73	Facility		$5,430.36	$9,539.44	$20,806.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,098.22 / $1,439.16 / $1,594.61	Professional		$1,098.22	$1,439.16	$1,594.61
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 $865.78 / $1,323.61 / $1,850.04	Professional		$865.78	$1,323.61	$1,850.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $884.77 / $1,474.62 / $3,707.95	Professional		$884.77	$1,474.62	$3,707.95
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 $958.50 / $1,122.24 / $1,274.58	Professional		$958.50	$1,122.24	$1,274.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,470.68	Professional		$32.34	$32.34	$1,470.68
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 $832.14 / $1,229.89 / $1,978.08	Professional		$832.14	$1,229.89	$1,978.08