Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.74 / $1,954.00 / $5,549.00	Facility		$860.74	$1,954.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.29 / $860.74 / $1,473.08	Professional		$722.29	$860.74	$1,473.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,449.04 / $16,102.58 / $22,748.77	Facility		$8,449.04	$16,102.58	$22,748.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.36 / $1,385.62 / $1,609.79	Professional		$1,069.36	$1,385.62	$1,609.79
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 $925.94 / $1,245.26 / $1,683.85	Professional		$925.94	$1,245.26	$1,683.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $925.94 / $1,473.08 / $6,545.97	Professional		$925.94	$1,473.08	$6,545.97
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 $1,018.99 / $1,094.29 / $1,199.13	Professional		$1,018.99	$1,094.29	$1,199.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,383.62	Professional		$32.34	$32.34	$1,383.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.49 / $1,232.22 / $2,109.56	Professional		$851.49	$1,232.22	$2,109.56