Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.83 / $1,972.00 / $5,430.00	Facility		$861.83	$1,972.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $861.83 / $1,511.31	Professional		$634.54	$861.83	$1,511.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,181.20 / $11,082.80 / $22,193.30	Facility		$5,181.20	$11,082.80	$22,193.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.84 / $1,370.54 / $1,519.09	Professional		$1,045.84	$1,370.54	$1,519.09
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 $814.10 / $1,260.50 / $1,765.79	Professional		$814.10	$1,260.50	$1,765.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $904.62 / $1,407.70 / $3,728.71	Professional		$904.62	$1,407.70	$3,728.71
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 $915.01 / $1,069.08 / $1,213.82	Professional		$915.01	$1,069.08	$1,213.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,400.57	Professional		$32.34	$32.34	$1,400.57
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 $823.59 / $1,134.64 / $2,167.69	Professional		$823.59	$1,134.64	$2,167.69